Healthcare Provider Details

I. General information

NPI: 1417867300
Provider Name (Legal Business Name): RACHAEL BEACH SOULES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 FOLSOM BLVD STE 215
SACRAMENTO CA
95826-2620
US

IV. Provider business mailing address

1521 CLAUDIA DR
SACRAMENTO CA
95822-3027
US

V. Phone/Fax

Practice location:
  • Phone: 916-376-7935
  • Fax:
Mailing address:
  • Phone: 916-833-7191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: