Healthcare Provider Details

I. General information

NPI: 1376329367
Provider Name (Legal Business Name): SAVANNAH SECHSLINGLOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W ALVIN AVE
SANTA MARIA CA
93458-3012
US

IV. Provider business mailing address

430 MOUNTAIN AVE STE 304
NEW PROVIDENCE NJ
07974-2731
US

V. Phone/Fax

Practice location:
  • Phone: 805-361-6940
  • Fax:
Mailing address:
  • Phone: 973-299-9954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberEC7148AAC6
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: