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General NPI Number Information
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NPI Number | 1578413456
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL MENTAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 655 F ST STE A
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City | ARCATA
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State | CA
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Zip | 95521-6366
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Country | US
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Telephone | 707-877-4787
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Fax | 707-877-4787
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Provider Business Mailing Address
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Address Line | 395 E CALIFORNIA AVE
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City | ARCATA
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State | CA
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Zip | 95521-5279
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Country | US
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Telephone | 707-599-0310
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Fax | 707-877-4787
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Authorized Official
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Title or Position | OWNER
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Name | JENOA S BRIAR-BONPANE
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Credential | LCSW
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Telephone | 707-599-0310
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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 |
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License Number State |
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