| Sierra Mental Wellness Group | |
|
2975 Mcmillan Ave Ste 164 San Luis Obispo CA 93401-6768 | |
| (805) 994-9915 | |
| (805) 439-4891 |
| Full Name | Sierra Mental Wellness Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2975 Mcmillan Ave Ste 164, San Luis Obispo, California |
| Authorized Official Name and Position | Nicole Vanneman (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9167835207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Mental Wellness Group 2945 Mcmillan Avenue, #240 San Luis Obispo CA 93401-6766 Ph: (805) 994-9915 | Sierra Mental Wellness Group 2975 Mcmillan Ave Ste 164 San Luis Obispo CA 93401-6768 Ph: (805) 994-9915 |
| NPI Number | 1407230329 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407230329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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