Coastal Integrative Wellness, A Marriage And Family Corp

LBN: Coastal Integrative Wellness, A Marriage And Family Corp
Coastal Integrative Wellness, A Marriage And Family Corp is an health care organization with primary practice located at 3889 Long St Ste 200 , San Luis Obispo CA 93401-7581. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Case Management, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Coastal Integrative Wellness, A Marriage And Family Corp can be contacted via phone (805) 724-6831, or through Derose, Leah via phone (805) 724-6831.

Contact Information

Primary practice address
3889 Long St Ste 200 San Luis Obispo CA 93401-7581
Phone: (805) 724-6831
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derose, Leah LMFT
Phone: (805) 724-6831

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1477232932
LBN Legal business name Coastal Integrative Wellness, A Marriage And Family Corp
DBA Doing business as
Authorized official Derose, Leah LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2023
Last updated Jul 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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