Healthcare Provider Details

I. General information

NPI: 1548123763
Provider Name (Legal Business Name): SAN BERNARDINO COUNTY DBH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 E MAIN ST
BARSTOW CA
92311-3234
US

IV. Provider business mailing address

1841 E MAIN ST
BARSTOW CA
92311-3234
US

V. Phone/Fax

Practice location:
  • Phone: 760-255-5700
  • Fax:
Mailing address:
  • Phone: 760-255-5700
  • 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: AMBER SHERWOOD
Title or Position: BARSTOW COUNSELING CLINICAL SUP
Credential: LMFT
Phone: 760-255-5700