Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Integrative Wellness, a Marriage and Family Corp

Organization Psychologist · NPI 1477232932

Coastal Integrative Wellness, a Marriage and Family Corp is a Psychologist in San Luis Obispo, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
8
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3889 Long St Ste 200
San Luis Obispo, CA 93401-7581
Phone: (805) 724-6831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Psychologist Taxonomy 103T00000X
Case Management Agency Taxonomy 251B00000X
Clinic/Center Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1477232932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Derose — President · (805) 724-6831
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address3889 Long St Ste 200, San Luis Obispo, CA 93401-7581

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