Healthcare Provider Details

I. General information

NPI: 1063327252
Provider Name (Legal Business Name): ALAYNA GOMES, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 LESLIE RD
HEALDSBURG CA
95448-9581
US

IV. Provider business mailing address

160 FOSS CREEK CIR UNIT 1563
HEALDSBURG CA
95448-5720
US

V. Phone/Fax

Practice location:
  • Phone: 707-266-6081
  • Fax:
Mailing address:
  • Phone: 707-266-6081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALAYNA LOUISE GOMES
Title or Position: OWNER/PRESIDENT
Credential: LPCC
Phone: 707-266-6081