Healthcare Provider Details

I. General information

NPI: 1669258240
Provider Name (Legal Business Name): SYNTROPY FAMILY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 STATE ST STE B
SANTA BARBARA CA
93105-6180
US

IV. Provider business mailing address

3710 STATE ST STE B
SANTA BARBARA CA
93105-6180
US

V. Phone/Fax

Practice location:
  • Phone: 805-538-2559
  • Fax:
Mailing address:
  • Phone: 805-538-2559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DERRICK E SELB
Title or Position: OWNER
Credential: MFT
Phone: 805-538-2559