| Lake County Behavioral Health Services | |
|
6302 Thirteenth Ave Lucerne CA 95458-1024 | |
| (707) 274-9101 | |
| (707) 274-9192 |
| Full Name | Lake County Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6302 Thirteenth Ave, Lucerne, California |
| Authorized Official Name and Position | Elise Jones (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072749101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Behavioral Health Services Po Box 1024 6302 Thirteenth Ave Lucerne CA 95458-1024 Ph: (707) 274-9101 | Lake County Behavioral Health Services 6302 Thirteenth Ave Lucerne CA 95458-1024 Ph: (707) 274-9101 |
| NPI Number | 1720292329 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720292329 | NPI | - | NPPES |
| 171717 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
Robert W. Gardner Psg-dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Lake County Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6302 Thirteenth Ave, Lucerne, CA 95458 Phone: 707-274-9101 Fax: 707-274-9192 | |
Dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Psg-dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Robert W. Gardner Dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 |