Healthcare Provider Details

I. General information

NPI: 1972643542
Provider Name (Legal Business Name): SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WEST FOSTER ROAD
SANTA MARIA CA
93455-3620
US

IV. Provider business mailing address

315 CAMINO DEL REMEDIO SUITE 257
SANTA BARBARA CA
93110-1332
US

V. Phone/Fax

Practice location:
  • Phone: 805-934-6380
  • Fax: 805-934-6381
Mailing address:
  • Phone: 805-681-5220
  • Fax: 805-681-5262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. TAMMY LYNN CASIANO
Title or Position: QCM COORDINATOR/DESIGNEE
Credential: MFT
Phone: 805-325-5905