Healthcare Provider Details

I. General information

NPI: 1205652492
Provider Name (Legal Business Name): HAPPY VALLEY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 BRANCIFORTE DR
SANTA CRUZ CA
95065-9732
US

IV. Provider business mailing address

3125 BRANCIFORTE DR
SANTA CRUZ CA
95065-9732
US

V. Phone/Fax

Practice location:
  • Phone: 831-429-1456
  • Fax: 831-429-6205
Mailing address:
  • Phone: 831-429-1456
  • Fax: 831-429-6205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE A. STEWART
Title or Position: SUPERINTENDENT/PRINCIPAL
Credential:
Phone: 831-429-1456