MISTY MARIE GEARHEART
NPI 1548856297
Counselor - Mental Health in Antioch, CA
Active since December 16, 2020
About Misty Marie Gearheart NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY MARIE GEARHEART (NPI 1548856297) is an individual mental health provider in Antioch, California and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1548856297
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISTY MARIE GEARHEART
Location Address3114 ASHLEY WAYAntioch, CA 94509-5104
Mailing Address550 Patterson BlvdPleasant Hill, CA 94523-4155
Phone(925) 470-6902
Sole ProprietorNo
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1548856297 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3114 ASHLEY WAY, Antioch, CA 94509
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548856297, enumerated as an "individual" on December 16, 2020.
The provider is located at 3114 ASHLEY WAY ANTIOCH, CA 94509 and the phone number is (925) 470-6902.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.