Healthcare Provider Details

I. General information

NPI: 1255549499
Provider Name (Legal Business Name): TRANSITIONS - MENTAL HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 FURUKAWA WAY
SANTA MARIA CA
93458-4929
US

IV. Provider business mailing address

1265 FURUKAWA WAY
SANTA MARIA CA
93458-4929
US

V. Phone/Fax

Practice location:
  • Phone: 805-614-4940
  • Fax: 805-540-6501
Mailing address:
  • Phone: 805-614-4940
  • Fax: 805-540-6501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA E. HARNEY
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 805-720-2536