Organization · NPI-2

Bold Mind Therapy A Licensed Professional Clinical Counselor Co

Counselor, Mental Health · Mountain View, CA

NPI number1376497073

StatusActive

Last updated in NPPESFeb 21, 2026

Details

NPI: 1376497073
Entity type: Organization (NPI-2)
Legal business name: Bold Mind Therapy A Licensed Professional Clinical Counselor Co
Organization subpart: No
Enumeration date: Feb 21, 2026
Certification date: Feb 21, 2026
Last updated: Feb 21, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
103TH0100X	Psychologist, Health Service	–	–
1041C0700X	Social Worker, Clinical	–	–

Practice location

809 Cuesta Dr # B3320
Mountain View, CA 94040-3667

Phone 650-316-0328

Mailing address

809 Cuesta Dr # B3320
Mountain View, CA 94040-3667

Phone 650-316-0328

Authorized official

Lisa Romero
Psychotherapist, Owner
6503160328

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