MEDICARE: TOTAL SPECTRUM COUNSELING, A PSYCHOLOGICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376145946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL SPECTRUM COUNSELING, A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	318 E BRANCH ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2706
Country	:	US
Telephone Number	:	424-254-9101
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 E BRANCH ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2706
Country	:	US
Telephone Number	:	424-265-8185
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRITTANY BOVEE SCHWARTZ
Credential	:	LSCW
Telephone Number	:	424-254-9101

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	07/22/2022

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