Provider Demographics
NPI:1194687319
Name:BUSBY-CHEETHAM, MELISSA (MA, MFT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BUSBY-CHEETHAM
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 DEPOT RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2808
Mailing Address - Country:US
Mailing Address - Phone:805-699-5391
Mailing Address - Fax:
Practice Address - Street 1:1470 E VALLEY RD STE H
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93150-7001
Practice Address - Country:US
Practice Address - Phone:805-699-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135410106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty