Provider Demographics
NPI:1255483780
Name:SHALINI MONGIA
Entity Type:Organization
Organization Name:SHALINI MONGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-979-9839
Mailing Address - Street 1:3189 DANVILLE BLVD STE 250-G
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1954
Mailing Address - Country:US
Mailing Address - Phone:925-979-9839
Mailing Address - Fax:
Practice Address - Street 1:3189 DANVILLE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1993
Practice Address - Country:US
Practice Address - Phone:925-979-9839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health