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CHANGING TIDES FAMILY SERVICES
NPI 1336489202
Community/Behavioral Health in Eureka, CA

Active since February 28, 2013
2259 MYRTLE AVE, EUREKA, CA 95501(707) 444-8293(707) 444-8298 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Tides Family Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGING TIDES FAMILY SERVICES (NPI 1336489202) is a healthcare organization registered as a community/behavioral health in Eureka, California and active in the NPI registry since February 2013. The organization lists Connie M Sundberg, Family Empowerment Services Directo, as its authorized official.

NPPES Registry Identity

NPI1336489202
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGING TIDES FAMILY SERVICES
Location Address2259 MYRTLE AVEEureka, CA 95501-3325
Mailing Address2259 Myrtle AveEureka, CA 95501-3325 · (707) 444-8293 · Fax (707) 444-8298
Phone(707) 444-8293
Fax(707) 444-8298
Organization SubpartNo
Authorized OfficialConnie M SundbergFamily Empowerment Services Directo · (707) 444-8293
Enumeration DateFebruary 28, 2013
✔ NPI 1336489202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2259 MYRTLE AVE, Eureka, CA 95501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVENNA GIANNOTTA
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
SAMANTHA SUMMER WILLIAMS-GRAY BA
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
MS. MARIA ELENA REYES LOPEZ ASW
Counselor
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
DESIRAE ANN WITZKE
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
BRYAN ORTEGA
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (562) 659-3772
MR. TERRY ALLEN ROGERS II
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8298
JULIA MANDEL LCSW
Social Worker (Clinical)
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
CAMERON PAPP
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changing Tides Family Services's NPI number?

The NPI number for Changing Tides Family Services is 1336489202. It was assigned to this organization in the NPPES registry on February 28, 2013.

Where is Changing Tides Family Services located?

Changing Tides Family Services is located at 2259 Myrtle Ave, Eureka, CA 95501. The listed phone number is (707) 444-8293.

What is Changing Tides Family Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Changing Tides Family Services was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.