Healthcare Provider Details

I. General information

NPI: 1215185293
Provider Name (Legal Business Name): ANTHONY J EYESTONE LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ANTHONY J ROMO

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 08/31/2025
Certification Date: 08/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 GOLD ST STE B
REDDING CA
96001-1937
US

IV. Provider business mailing address

29632 E HIGHWAY 299
ROUND MOUNTAIN CA
96084-8000
US

V. Phone/Fax

Practice location:
  • Phone: 530-691-4446
  • Fax:
Mailing address:
  • Phone: 530-337-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number86520
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: