MEDICARE: MENTAL HEALTH ASSOCIATION IN SANTA BARBARA COUNTY

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	251V00000X	Voluntary or Charitable Agency
2	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1558741678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH ASSOCIATION IN SANTA BARBARA COUNTY

Provider Business Mailing Address
First Line	:	617 GARDEN ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-1664
Country	:	US
Telephone Number	:	805-884-8440
Fax Number	:	805-884-8445

Provider Business Practice Location Address
First Line	:	7167 ALAMEDA AVE
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-1354
Country	:	US
Telephone Number	:	805-884-8440
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RESIDENTIAL SERVICES
Name	:	NICK PAPAGEORGE
Credential	:	LMFT
Telephone Number	:	805-884-8440

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	02/29/2024

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