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NPI Code Detail

MEDICARE: HEALING SOULUTIONS THERAPY, LLC

MEDICARE: HEALING SOULUTIONS THERAPY, LLC
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4103TC0700XClinical Psychologist
51041C0700XClinical Social Worker
6106H00000XMarriage & Family Therapist
7103T00000XPsychologist
8251B00000XCase Management Agency
9251S00000XCommunity/Behavioral Health Agency
10261QM0850XAdult Mental Health Clinic/Center
11261QM0855XAdolescent and Children Mental Health Clinic/Center
12261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1477481463
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING SOULUTIONS THERAPY, LLC
Provider Business Mailing Address
First Line : 9245 LAGUNA SPRINGS DR STE 200
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7991
Country : US
Telephone Number : 916-459-1679
Fax Number : 916-459-1679
Provider Business Practice Location Address
First Line : 9245 LAGUNA SPRINGS DR STE 200
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7991
Country : US
Telephone Number : 916-459-1679
Fax Number : 916-459-1679
Authorized Official
Title or Position : CEO
Name : DESTINY ROBBINS
Credential : LCSW
Telephone Number : 916-236-9409
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “HEALING SOULUTIONS THERAPY, LLC ” Practice Location

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