Mountain Therapy Collaborative is a Group Psychotherapy - Psychology Clinic in South Lake Tahoe, California. It is located at 870 Emerald Bay Rd Ste 303, South Lake Tahoe, CA and its contact number is 415-806-0275. The authorized person for Mountain Therapy Collaborative is Dr. Matthew Wong
who is Owner of the clinic and his/her contact number is 415-806-0275. Mountain Therapy Collaborative Clinic is specialized to perform group therapy, a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. It can be any form of psychotherapy which is delivered in a group format, including cognitive behavioural therapy or interpersonal therapy, but it is usually psychodynamic group therapy where the group context and group process is explicitly utilised as a mechanism of change by developing, exploring and examining interpersonal relationships within the group.
Complete Clinic Profile:
Mountain Therapy Collaborative Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mountain Therapy Collaborative
Specialization:
Group Psychotherapy
Clinic Address:
870 Emerald Bay Rd Ste 303, South Lake Tahoe, California, 96150-9400
Phone:
415-806-0275
Fax:
530-600-0063
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Matthew Wong
Position:
Owner
Contact Number:
415-806-0275
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mountain Therapy Collaborative clinic are as mentioned below.
NPI Number:
1053825505
NPI Enumeration Date:
20 Nov, 2017
NPI Last Update On:
20 Nov, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Therapy Collaborative are as mentioned below.
Specialization
License Number
State
Status
Group Psychotherapy
Primary
Clinical
Secondary
Occupational Therapy Assistant
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1598157117
Medicaid
California
1619169653
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mountain Therapy Collaborative 870 Emerald Bay Rd Ste 303, South Lake Tahoe, California
Zip:
96150-9400
Phone Number:
415-806-0275
Fax Number:
530-600-0063
Patients can reach Mountain Therapy Collaborative at 870 Emerald Bay Rd Ste 303, South Lake Tahoe, California or can call to book an appointment on 415-806-0275. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.