Mental Health Wellness Services

LBN: County Of Marin
Mental Health Wellness Services is an health care organization with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. County Of Marin can be contacted via phone (415) 473-5053, or through Lallana, Rosanna via phone (415) 473-2087.

Contact Information

Primary practice address
3230 Kerner Blvd San Rafael CA 94901-4840
Phone: (415) 473-5053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lallana, Rosanna
Phone: (415) 473-2087

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1881065332
LBN Legal business name County Of Marin
DBA Doing business as Mental Health Wellness Services
Authorized official Lallana, Rosanna
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2015
Last updated May 18th, 2021 - about 5 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 1881065332 NPPES
California MEDICAID 2177

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