FAMILY SERVICE AGENCY OF THE CENTRAL COAST NPI 1104994136

NPI Information

NPI: 1104994136
Provider Name: FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
104 WALNUT AVE
SUITE 208
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 423-9444
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FAMILY SERVICE AGENCY OF THE CENTRAL COAST is a mental health counselor in Santa Cruz, CA. FAMILY SERVICE AGENCY OF THE CENTRAL COAST NPI is 1104994136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 WALNUT AVE
SUITE 208
SANTA CRUZ, CA
ZIP 95060-900
Phone: (831) 423-9444
Fax: (831) 423-9444

The provider's authorized official is David Arthur Bianchi .
The authorized official title is Executive Director and has the following contact phone number (831) 423-9444.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YM0800X	Counselor	Mental Health		Yes
2	103T00000X	Psychologist		CALIFORNIA	No
3	104100000X	Social Worker		CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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