Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Healing Waters Marriage and Family Therapy Inc

Organization Professional Counselor · NPI 1083594451

Healing Waters Marriage and Family Therapy Inc provides Professional Counselor services in Apple Valley, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16031 Tuscola Rd
Apple Valley, CA 92307-1319
Phone: (661) 209-3614
Fax: (661) 524-9950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083594451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Segroves — Practice Manager · (661) 874-7851
NPI enumeratedSeptember 5, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address16031 Tuscola Rd, Apple Valley, CA 92307-1319

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