Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healing Waters Marriage and Family Therapy Inc

Organization Professional Counselor · NPI 1083594451

Healing Waters Marriage and Family Therapy Inc is a Professional Counselor 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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