Healthcare Provider Details

I. General information

NPI: 1538209184
Provider Name (Legal Business Name): SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W CENTRAL AVE STE 202
LOMPOC CA
93436-2807
US

IV. Provider business mailing address

315 CAMINO DEL REMEDIO STE 257
SANTA BARBARA CA
93110-1332
US

V. Phone/Fax

Practice location:
  • Phone: 805-737-6690
  • Fax:
Mailing address:
  • Phone: 805-681-5220
  • Fax: 805-681-5262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: HADISHA PERSON
Title or Position: QCM COORDINATOR
Credential:
Phone: 805-291-3670