Healthcare Provider Details

I. General information

NPI: 1063915601
Provider Name (Legal Business Name): FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2018
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 8TH ST
CARPINTERIA CA
93013-2495
US

IV. Provider business mailing address

105 N LINCOLN ST
SANTA MARIA CA
93458-4319
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-1001
  • Fax:
Mailing address:
  • Phone: 805-928-1707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NANCY ALICE RANCK
Title or Position: BEHAVIORAL HEALTH PROGRAM DIRECTOR
Credential:
Phone: 805-965-1001