Provider Demographics
NPI:1265252472
Name:MANTRA ENERGY COUNSELING, LLC
Entity type:Organization
Organization Name:MANTRA ENERGY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARBACHECK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:641-505-1466
Mailing Address - Street 1:1610 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-4758
Mailing Address - Country:US
Mailing Address - Phone:507-402-8131
Mailing Address - Fax:
Practice Address - Street 1:687 S TAFT AVE STE 5
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1532
Practice Address - Country:US
Practice Address - Phone:641-505-1466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty