Healthcare Provider Details

I. General information

NPI: 1144147232
Provider Name (Legal Business Name): UNLIMITED PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 WALNUT ST
ARROYO GRANDE CA
93420-3111
US

IV. Provider business mailing address

251 WALNUT ST
ARROYO GRANDE CA
93420-3111
US

V. Phone/Fax

Practice location:
  • Phone: 307-220-3408
  • Fax:
Mailing address:
  • Phone: 307-220-3408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JILL KOEHN
Title or Position: PRACTICE OWNER
Credential: LPC
Phone: 307-220-3408