Healthcare Provider Details
I. General information
NPI: 1386203156
Provider Name (Legal Business Name): ALAYNA LOUISE GOMES LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/06/2019
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
132 MILL ST
HEALDSBURG CA
95448-4451
US
IV. Provider business mailing address
160 FOSS CREEK CIR UNIT 1563
HEALDSBURG CA
95448-5720
US
V. Phone/Fax
- Phone: 707-395-7550
- Fax:
- Phone: 707-266-6081
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 13933 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: