MEDICARE: ROYA WELLNESS & FAMILY THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1437035813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYA WELLNESS & FAMILY THERAPY INC

Provider Business Mailing Address
First Line	:	3010 I ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-4420
Country	:	US
Telephone Number	:	916-947-0863
Fax Number	:

Provider Business Practice Location Address
First Line	:	2319 K ST STE 201
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5031
Country	:	US
Telephone Number	:	916-947-0863
Fax Number	:

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

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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