| County Of Lake | |
|
7000b S Center Dr Clearlake CA 95422-8131 | |
| (707) 994-7090 | |
| (707) 994-7092 |
| Full Name | County Of Lake |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7000b S Center Dr, Clearlake, California |
| Authorized Official Name and Position | Elise Jones (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072749101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Lake P O Box 1024 Lucerne CA 95458 Ph: (707) 274-9101 | County Of Lake 7000b S Center Dr Clearlake CA 95422-8131 Ph: (707) 994-7090 |
| NPI Number | 1619039211 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619039211 | NPI | - | NPPES |
| 171712 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6840 S Center Dr, Clearlake, CA 95422 Phone: 707-995-1232 Fax: 707-995-7084 | |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15850 A Dam Road, Clearlake, CA 95422 Phone: 707-994-6447 Fax: 707-994-1875 | |
County Of Lake Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7092 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14092 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-994-4261 | |
Adventist Health California Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6885 Old Highway 53, Clearlake, CA 95422 Phone: 707-995-3235 Fax: 707-995-7004 |