FAMILY SERVICE AGENCY OF THE CENTRAL COAST NPI 1992115091

NPI Information

NPI: 1992115091
Provider Name: FAMILY SERVICE AGENCY OF THE CENTRAL COAST

Doing Business As: SURVIVORS HEALING CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
104 WALNUT AVE
SUITE 204
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 1992115091. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Survivors Healing Center.

The provider's business location address is:

104 WALNUT AVE
SUITE 204
SANTA CRUZ, CA
ZIP 95060-929
Phone: (831) 423-9444
Fax: (831) 423-1532

The provider's authorized official is David A. 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 4/29/2014 and was last updated on 4/29/2014.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45554	OTHER	CALIFORNIA	COUNSELING

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

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