Healthcare Provider Details

I. General information

NPI: 1700628104
Provider Name (Legal Business Name): CREST MIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2666 MONTROSE PL
SANTA BARBARA CA
93105-2143
US

IV. Provider business mailing address

2666 MONTROSE PL
SANTA BARBARA CA
93105-2143
US

V. Phone/Fax

Practice location:
  • Phone: 440-732-1089
  • Fax:
Mailing address:
  • Phone: 216-849-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HELEN VAFAIE
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 216-849-1330