Healthcare Provider Details

I. General information

NPI: 1619708021
Provider Name (Legal Business Name): WELL BEING CHILD & FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 ANACAPA ST STE 2L
SANTA BARBARA CA
93101-7127
US

IV. Provider business mailing address

334 FUENTE DR
GUADALUPE CA
93434-1848
US

V. Phone/Fax

Practice location:
  • Phone: 805-450-3241
  • Fax:
Mailing address:
  • Phone: 805-450-3241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NATASHA ASHLEY QUINTERO
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 805-450-3241