El Dorado County Mental Health

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1346441417

El Dorado County Mental Health is a Mental Health Clinic/Center (Including Community Mental Health Center) in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2007.

Licensed in: CA
In the registry since: 2007

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Practice location Address checks out

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Phone: (530) 573-7970
Fax: (530) 543-6873

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary)	Taxonomy 261QM0801X (CA)

Record details

NPI number	1346441417
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Nicole Ebrahimi-Nuyken — Behavioral Health Director · (530) 621-6545
NPI enumerated	May 29, 2007
Last updated in NPPES	October 7, 2020
Certification date	October 7, 2020
Mailing address	768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260