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General NPI Number Information
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NPI Number | 1295873834
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Entity Type | Organization
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Legal Business Name | TRANSITIONS MENTAL HEALTH ASSOC
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 412 E TUNNELL ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4146
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Country | US
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Telephone | 805-922-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 277 SOUTH ST STE Y
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-5039
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Country | US
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Telephone | 805-541-5144
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Fax | 805-541-9480
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. KIMBERLY A BARNETT
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Credential | IMF
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Telephone | 805-801-8942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 42573
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License Number State | CA
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