Healthcare Provider Details

I. General information

NPI: 1841071255
Provider Name (Legal Business Name): COASTAL TURNING POINT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 S RIVER ST
SANTA CRUZ CA
95060-4524
US

IV. Provider business mailing address

147 S RIVER ST STE 234A
SANTA CRUZ CA
95060-4556
US

V. Phone/Fax

Practice location:
  • Phone: 831-234-2010
  • Fax: 831-226-2123
Mailing address:
  • Phone: 831-818-5963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CASSIA LEA BLOOM
Title or Position: OWNER EXECUTIVE DIRECTOR
Credential: MFT, LPC
Phone: 831-234-2010