San Luis Obispo County Behavioral Health

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

MFC 40675 Issued in CA

Legal business name

SAN LUIS OBISPO COUNTY BEHAVIORAL HEALTH

Practice address

1086 E Grand Ave
Arroyo Grande, CA 93420-2505

Phone

(805) 474-2028

Fax

(805) 474-2025

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deana Rae Huddleston, MFT

Title

Mental Health Therapist IV

Phone

(805) 474-2028

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508913815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202505",
            "telephone_number": "805-474-2028",
            "fax_number": "805-474-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202505",
            "telephone_number": "805-474-2028",
            "fax_number": "805-474-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST IV",
        "authorized_official_telephone_number": "805-474-2028",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "MFC 40675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rymers
• Marycruz Salinas, ASW
• Sally Hansen OD, Inc.
• Breanne Lyn Salmon
• Art Samo
• San Luis Obispo County Office of Education - SCS Mesa View
• Ana Priscilla Sanchez, AMFT #13515
• Laura Frances Sandoval, D.O.
• Shawna Lynn Saperstein
• Kristine Scalzo

• Adolescent and Children Mental Health Clinic/Center in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.