Provider Demographics
NPI:1578196028
Name:COASTAL TURNING POINT INC.
Entity Type:Organization
Organization Name:COASTAL TURNING POINT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSIA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, LPC
Authorized Official - Phone:831-818-5963
Mailing Address - Street 1:147 S RIVER ST STE 234A
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4556
Mailing Address - Country:US
Mailing Address - Phone:831-818-5963
Mailing Address - Fax:
Practice Address - Street 1:6001 BUTLER LN STE 208
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3550
Practice Address - Country:US
Practice Address - Phone:831-818-5963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL TURNING POINT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health