Healthcare Provider Details

I. General information

NPI: 1831041714
Provider Name (Legal Business Name): CALIFORNIA HERITAGE YOUTHBUILD ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 HARTNELL AVE
REDDING CA
96002-2312
US

IV. Provider business mailing address

2150 CHURN CREEK RD STE 150
REDDING CA
96002-0756
US

V. Phone/Fax

Practice location:
  • Phone: 530-245-8123
  • Fax: 530-605-4902
Mailing address:
  • Phone: 530-605-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA MARTINEZ
Title or Position: PROGRAM DIRECTOR
Credential: MS PPS
Phone: 530-605-4900