Provider Demographics
NPI:1346042389
Name:COUNSELING COVE INC.
Entity type:Organization
Organization Name:COUNSELING COVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KARENN
Authorized Official - Last Name:PANTOJA MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-756-8614
Mailing Address - Street 1:1111 6TH AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-5211
Mailing Address - Country:US
Mailing Address - Phone:619-500-3481
Mailing Address - Fax:
Practice Address - Street 1:427 M AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2627
Practice Address - Country:US
Practice Address - Phone:619-756-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health