Provider Demographics
NPI:1003776568
Name:CALIFORNIA DREAMIN EXPRESSIVE ARTS THERAPY
Entity type:Organization
Organization Name:CALIFORNIA DREAMIN EXPRESSIVE ARTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORINE
Authorized Official - Middle Name:ESTELLE
Authorized Official - Last Name:BAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:650-437-3492
Mailing Address - Street 1:340 SOQUEL AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 SOQUEL AVE STE 111
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2328
Practice Address - Country:US
Practice Address - Phone:650-437-3492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty