Healthcare Provider Details

I. General information

NPI: 1619824687
Provider Name (Legal Business Name): LOOKING GLASS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 SANTA YSABEL AVE
LOS OSOS CA
93402-1137
US

IV. Provider business mailing address

731 SANTA YSABEL AVE
LOS OSOS CA
93402-1137
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-1525
  • Fax:
Mailing address:
  • Phone: 406-219-1525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA KNUCKLES
Title or Position: OWNER
Credential: MA, LPCC
Phone: 406-314-5959