Healthcare Provider Details

I. General information

NPI: 1679405286
Provider Name (Legal Business Name): PMC COUNSELING COACHING AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CHABLIS
RANCHO MIRAGE CA
92270-5664
US

IV. Provider business mailing address

21 CHABLIS
RANCHO MIRAGE CA
92270-5664
US

V. Phone/Fax

Practice location:
  • Phone: 760-368-6842
  • Fax:
Mailing address:
  • Phone: 760-368-6842
  • 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: PAULA M COMM
Title or Position: OWNER
Credential: LCPC
Phone: 847-456-3951