Healthcare Provider Details

I. General information

NPI: 1437035813
Provider Name (Legal Business Name): ROYA WELLNESS & FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 K ST STE 201
SACRAMENTO CA
95816-5031
US

IV. Provider business mailing address

3010 I ST
SACRAMENTO CA
95816-4420
US

V. Phone/Fax

Practice location:
  • Phone: 916-947-0863
  • Fax:
Mailing address:
  • Phone: 916-947-0863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. BAHAREH STEFANEH LAZEMIZADEH
Title or Position: THERAPIST/OWNER
Credential: LMFT, LPCC
Phone: 916-947-0863