MEDICARE: CALIFORNIA HERITAGE YOUTHBUILD ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	171400000X	Health & Wellness Coach
3	106H00000X	Marriage & Family Therapist
4	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1831041714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA HERITAGE YOUTHBUILD ACADEMY

Provider Business Mailing Address
First Line	:	2150 CHURN CREEK RD STE 150
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-0756
Country	:	US
Telephone Number	:	530-605-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2960 HARTNELL AVE
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-2312
Country	:	US
Telephone Number	:	530-245-8123
Fax Number	:	530-605-4902

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	CHELSEA MARTINEZ
Credential	:	MS PPS
Telephone Number	:	530-605-4900

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/23/2026

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