Healthcare Provider Details

I. General information

NPI: 1528996568
Provider Name (Legal Business Name): SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W CENTRAL AVE RM 134
LOMPOC CA
93436-2805
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 805-737-6690
  • Fax:
Mailing address:
  • Phone: 805-260-0535
  • Fax: 805-357-6377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JESSICA MARIE KORSAN
Title or Position: BRANCH CHIEF OF COMPLIANCE
Credential: LMFT
Phone: 805-683-0588