Provider Demographics
NPI:1467707331
Name:SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Entity Type:Organization
Organization Name:SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Other - Org Name:AB 109-SM
Other - Org Type:Other Name
Authorized Official - Title/Position:QCM COORDINATOR/DESIGNEE
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-325-5905
Mailing Address - Street 1:315 CAMINO DEL REMEDIO
Mailing Address - Street 2:SUITE 257
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1332
Mailing Address - Country:US
Mailing Address - Phone:805-681-5220
Mailing Address - Fax:805-681-5262
Practice Address - Street 1:124 CARMEN LN
Practice Address - Street 2:SUITE K
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7768
Practice Address - Country:US
Practice Address - Phone:805-346-7620
Practice Address - Fax:805-346-7621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SB CTY DEPT OF BEHAVIORAL WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM0850X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health