SAN LUIS OBISPO COUNTY BEHAVIORAL HEALTH (NPI# 1508913815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508913815 |
| Entity Type | Organization |
| Organization Name | SAN LUIS OBISPO COUNTY BEHAVIORAL HEALTH |
| Practice Address |
1086 E Grand Ave Arroyo Grande CA 93420-2505 |
| Practice Telephone | 8054742028 |
| Practice Fax Number | 8054742025 |
| Mailing Telephone | 8054742028 |
| Mailing Fax Number | 8054742025 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEANA RAE HUDDLESTON (MENTAL HEALTH THERAPIST IV) |
| Authorized Official Telephone | 8054742028 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MFC 40675 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720323454 | San Luis Obispo County Behavioral Health | Health Maintenance Organization | 227 South Street, Suite T, San Luis Obispo, CA 93401 | 2012-12-06 |
| Street Address |
1086 E GRAND AVE |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043378466 | Tom Lachapelle | Marriage & Family Therapist | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2006-12-05 |
| 1790339158 | Susan Pollard | Marriage & Family Therapist | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2019-07-24 |
| 1497184006 | Seneca Family of Agencies | Community/Behavioral Health | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2013-11-04 |
| 1497063069 | Alisha L Eftekhari | Marriage & Family Therapist | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2010-09-17 |
| 1194921213 | County of San Luis Obispo | Community/Behavioral Health | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2007-06-25 |
| 1104955921 | Nicola Kutilek Glanville | Marriage & Family Therapist | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2007-03-05 |
| 1861547788 | Caprice Jean Brewer | Social Worker | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2007-01-23 |
| 1629125331 | Judith Amelia Vick | Marriage & Family Therapist | 1086 E Grand Ave, Arroyo Grande, CA 93420-2505 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005999 | Aspire Counseling Services | Clinic/Center | 336 S Halcyon Rd Unit 130, Arroyo Grande, CA 93420-3884 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
Please comment or provide details below to improve the information on SAN LUIS OBISPO COUNTY BEHAVIORAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.