Provider Demographics
NPI:1083984272
Name:TSB HEALTH INC
Entity Type:Organization
Organization Name:TSB HEALTH INC
Other - Org Name:BEHAVIORAL HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT
Authorized Official - Phone:858-735-2794
Mailing Address - Street 1:11858 BERNARDO PLAZA CT
Mailing Address - Street 2:STE 210
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2439
Mailing Address - Country:US
Mailing Address - Phone:858-592-1460
Mailing Address - Fax:858-592-1460
Practice Address - Street 1:11858 BERNARDO PLAZA CT
Practice Address - Street 2:STE 210
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2439
Practice Address - Country:US
Practice Address - Phone:858-592-1460
Practice Address - Fax:858-592-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32056106H00000X
CAMFC9160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty