Healthcare Provider Details

I. General information

NPI: 1164341293
Provider Name (Legal Business Name): SUPPORT SPIRIT COUNSELING & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 DOUGLAS BLVD
ROSEVILLE CA
95678-2754
US

IV. Provider business mailing address

1805 V ST
SACRAMENTO CA
95818-1614
US

V. Phone/Fax

Practice location:
  • Phone: 916-229-8868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. SAHEBJIT SINGH
Title or Position: OWNER
Credential: LMFT
Phone: 916-229-8868