Provider Demographics
NPI:1437924073
Name:PRESENT MIND PMCC
Entity Type:Organization
Organization Name:PRESENT MIND PMCC
Other - Org Name:PMCC PRESENT MIND COUNSELING AND COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, COUNSELOR, COACH
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:II
Authorized Official - Credentials:PSYD
Authorized Official - Phone:951-482-4619
Mailing Address - Street 1:15021 VENTURA BLVD # 437
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2442
Mailing Address - Country:US
Mailing Address - Phone:951-482-4619
Mailing Address - Fax:
Practice Address - Street 1:28720 ROADSIDE DR STE 177
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4570
Practice Address - Country:US
Practice Address - Phone:310-272-9694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty