Mendocino Family & Youth Services

LBN: Mendocino County Youth Project
Mendocino Family & Youth Services is an health care organization with primary practice located at 776 S State St #107, Ukiah CA 95482. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mendocino County Youth Project can be contacted via phone (707) 463-4915, or through Jones, Serena via phone (707) 463-4915.

Contact Information

Primary practice address
776 S State St #107 Ukiah CA 95482
Phone: (707) 463-4915
Fax: (707) 463-4917
Website:
Map and Directions
Authorized official contact:
Name: Jones, Serena Licensed Clinical Social Worker (LCSW)
Phone: (707) 463-4915

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1225182470
LBN Legal business name Mendocino County Youth Project
DBA Doing business as Mendocino Family & Youth Services
Authorized official Jones, Serena Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 12th, 2014 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1225182470 NPPES
California Other 2375 MEDI-CAL MENDOCINO CO

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