Organization · Type 2 NPI
Mystic Health
Mental Health Counselor · Santa Monica, CA
NPI number
1982532925
Active
Practice location
2901 Wilshire Blvd, Ste 105
Santa Monica, CA 90403
Fax (310) 542-7067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1982532925
Mystic Health's National Provider Identifier is 1982532925, issued on May 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Monica, CA. The record was last updated on May 18, 2026.