COASTAL INTEGRATIVE WELLNESS, A MARRIAGE AND FAMILY CORP
NPI 1477232932
Marriage & Family Therapist in San Luis Obispo, CA

Q: What is Coastal Integrative Wellness, A Marriage And Family Corp's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 12, 2023

3889 LONG ST STE 200, SAN LUIS OBISPO, CA 93401(805) 724-6831 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Integrative Wellness, A Marriage And Family Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL INTEGRATIVE WELLNESS, A MARRIAGE AND FAMILY CORP (NPI 1477232932) is a healthcare organization registered as a marriage & family therapist in San Luis Obispo, California and active in the NPI registry since July 2023. The organization lists Leah Derose, President, as its authorized official.

NPPES Registry Identity

NPI1477232932

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameCOASTAL INTEGRATIVE WELLNESS, A MARRIAGE AND FAMILY CORP

Location Address3889 LONG ST STE 200San Luis Obispo, CA 93401-7581

Mailing Address3889 Long St Ste 200San Luis Obispo, CA 93401-7581 · (805) 724-6831

Phone(805) 724-6831

Organization SubpartNo

Authorized OfficialLeah DerosePresident · (805) 724-6831

Enumeration DateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1477232932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedPhysician AssistantTaxonomy 363A00000X

3889 LONG ST STE 200, San Luis Obispo, CA 93401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA LYNN PANARRA AMFT, APCC

Marriage & Family Therapist

3889 LONG ST STE 200
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 724-6831

LOGAN ELIZABETH ROLLE APCC

Counselor (Professional)

3889 LONG ST STE 200
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 742-6831

GABRIELLA FAHMY

Dietitian, Registered

3889 LONG ST STE 200
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 724-6831

MARINA CANELLA

Marriage & Family Therapist

3889 LONG ST STE 200
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 724-6831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Integrative Wellness, A Marriage And Family Corp's NPI number?

The NPI number for Coastal Integrative Wellness, A Marriage And Family Corp is 1477232932. It was assigned to this organization in the NPPES registry on July 12, 2023.

Where is Coastal Integrative Wellness, A Marriage And Family Corp located?

Coastal Integrative Wellness, A Marriage And Family Corp is located at 3889 Long St Ste 200, San Luis Obispo, CA 93401. The listed phone number is (805) 724-6831.

What is Coastal Integrative Wellness, A Marriage And Family Corp's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Coastal Integrative Wellness, A Marriage And Family Corp was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.