Provider Demographics
NPI:1275193583
Name:STACIE PASIMIO MS LMFT
Entity Type:Organization
Organization Name:STACIE PASIMIO MS LMFT
Other - Org Name:CASTLE ROCK FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASIMIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-287-1364
Mailing Address - Street 1:3200 E GUASTI RD STE 178B
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8660
Mailing Address - Country:US
Mailing Address - Phone:909-600-8134
Mailing Address - Fax:909-614-8136
Practice Address - Street 1:3200 E GUASTI RD STE 178B
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8660
Practice Address - Country:US
Practice Address - Phone:909-255-0443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty