Healthcare Provider Details

I. General information

NPI: 1992479729
Provider Name (Legal Business Name): HEALING THOUGHTS PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 08/05/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45118 13TH ST W
LANCASTER CA
93534-2156
US

IV. Provider business mailing address

4201 W AVENUE J9
LANCASTER CA
93536-6866
US

V. Phone/Fax

Practice location:
  • Phone: 661-418-2918
  • Fax: 661-418-2651
Mailing address:
  • Phone: 661-418-2918
  • Fax: 661-418-2651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. LA RAE CHAPPELLE NEAL
Title or Position: CLINICAL DIRECTOR
Credential: PSYD
Phone: 661-418-2918