MEDICARE: AFFECTIVE INSIGHTS FAMILY THERAPY PROF CORP

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	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659224798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFECTIVE INSIGHTS FAMILY THERAPY PROF CORP

Provider Business Mailing Address
First Line	:	7127 HOLLISTER AVE #25A
Second Line	:	#202
City	:	GOLETA
State	:	CA
Zip	:	93117-2857
Country	:	US
Telephone Number	:	805-214-4354
Fax Number	:	805-710-8610

Provider Business Practice Location Address
First Line	:	629 STATE ST STE 203B
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-7071
Country	:	US
Telephone Number	:	805-214-4354
Fax Number	:	805-710-8610

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERT ROBERT CORRIERI JR.
Credential	:	LMFT
Telephone Number	:	805-214-4354

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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