Healthcare Provider Details

I. General information

NPI: 1093621864
Provider Name (Legal Business Name): PANGEA HOPE PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 MONTCLAIR ST
BAKERSFIELD CA
93309-8542
US

IV. Provider business mailing address

513 MONTCLAIR ST
BAKERSFIELD CA
93309-8542
US

V. Phone/Fax

Practice location:
  • Phone: 310-502-5147
  • Fax:
Mailing address:
  • Phone: 562-350-3512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANASA JAMALA STORAY-DEMBY
Title or Position: PRESIDENT
Credential: LPCC
Phone: 310-502-5147