Healthcare Provider Details

I. General information

NPI: 1659224798
Provider Name (Legal Business Name): AFFECTIVE INSIGHTS FAMILY THERAPY PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 STATE ST STE 203B
SANTA BARBARA CA
93101-7071
US

IV. Provider business mailing address

7127 HOLLISTER AVE #25A #202
GOLETA CA
93117-2857
US

V. Phone/Fax

Practice location:
  • Phone: 805-214-4354
  • Fax: 805-710-8610
Mailing address:
  • Phone: 805-214-4354
  • Fax: 805-710-8610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALBERT ROBERT CORRIERI JR.
Title or Position: OWNER
Credential: LMFT
Phone: 805-214-4354