MEDICARE: HEALING JOURNEY THERAPY

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1881544328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING JOURNEY THERAPY

Provider Business Mailing Address
First Line	:	7252 ARCHIBALD AVENUE PMB 1087
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	909-699-0502
Fax Number	:

Provider Business Practice Location Address
First Line	:	7252 ARCHIBALD AVENUE PMB 1087
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	909-699-0502
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	SAHILI AMADOR
Credential	:	LCSW
Telephone Number	:	909-699-0502

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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