Provider Demographics
NPI:1912765678
Name:CALM CONNECTIONS-MENTAL HEALTH THERAPY
Entity Type:Organization
Organization Name:CALM CONNECTIONS-MENTAL HEALTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:760-835-5563
Mailing Address - Street 1:941 ORANGE AVE # 317
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-2609
Mailing Address - Country:US
Mailing Address - Phone:760-835-5563
Mailing Address - Fax:877-431-9750
Practice Address - Street 1:333 W HARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-7709
Practice Address - Country:US
Practice Address - Phone:760-835-5563
Practice Address - Fax:877-431-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty