Provider Demographics
NPI:1972004513
Name:CAMINITI COUNSELING, LLC
Entity Type:Organization
Organization Name:CAMINITI COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CAMINITI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-514-0088
Mailing Address - Street 1:276 PISTOL HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-9429
Mailing Address - Country:US
Mailing Address - Phone:601-514-0088
Mailing Address - Fax:
Practice Address - Street 1:805 HOLCOMB BLVD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3943
Practice Address - Country:US
Practice Address - Phone:601-514-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2238101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty