Healthcare Provider Details

I. General information

NPI: 1952257099
Provider Name (Legal Business Name): MYLIS POST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 CAMINO DEL RIO N STE 400
SAN DIEGO CA
92108-5724
US

IV. Provider business mailing address

2930 BARNARD ST UNIT 4101
SAN DIEGO CA
92110-5775
US

V. Phone/Fax

Practice location:
  • Phone: 619-350-1495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: