Healthcare Provider Details

I. General information

NPI: 1962108779
Provider Name (Legal Business Name): MENDA BEHAVIORAL HEALTH SERVICES OF CALIFORNIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2354 POST ST STE D
SAN FRANCISCO CA
94115-3424
US

IV. Provider business mailing address

1303 PENDLETON ST SE
ATLANTA GA
30316-3801
US

V. Phone/Fax

Practice location:
  • Phone: 323-776-3632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: LESLIE ARIA
Title or Position: PRESIDENT
Credential: PHD
Phone: 906-627-1297