Healthcare Provider Details

I. General information

NPI: 1255121422
Provider Name (Legal Business Name): SANTA BARBARA COUNTY DEPT OF BEHAVIORAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W CENTRAL AVE STE 201
LOMPOC CA
93436-2807
US

IV. Provider business mailing address

315 CAMINO DEL REMEDIO RM 215
SANTA BARBARA CA
93110-1332
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-5323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JESSICA MARIE KORSAN
Title or Position: QUALITY CARE MANAGER
Credential:
Phone: 805-683-0588