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General NPI Number Information
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NPI Number | 1225106883
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Entity Type | Organization
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Legal Business Name | THE PHOENIX OF SANTA BARBARA, INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4095 FOOTHILL RD APT. D
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1278
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Country | US
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Telephone | 586-864-3883
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 FOOTHILL RD APT. D
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MISS LINDSAY L PERRY
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Credential |
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Telephone | 805-563-1916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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