Coastal Integrative Wellness, a Marriage and Family Corp
NPI #1477232932 in San Luis Obispo, California
Provider Information
- NPI Number
- 1477232932
- Entity Type
- Organization
- Organization Name
- Coastal Integrative Wellness, a Marriage and Family Corp
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 3889 LONG ST STE 200
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-7581
- Phone
- (805) 724-6831
Authorized Official
- Name
- LEAH DEROSE, LMFT
- Title
- PRESIDENT
- Phone
- (805) 724-6831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Case Management |
| Clinic/Center |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Physician Assistant |
| Marriage & Family Therapist |
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