Provider Demographics
NPI:1275320822
Name:HARMONY HEALING COLLECTIVE
Entity type:Organization
Organization Name:HARMONY HEALING COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOISEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT 99016
Authorized Official - Phone:707-536-1828
Mailing Address - Street 1:10390 BODEGA HWY
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-2913
Mailing Address - Country:US
Mailing Address - Phone:707-536-1828
Mailing Address - Fax:
Practice Address - Street 1:818 COLLEGE AVE STE E
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4132
Practice Address - Country:US
Practice Address - Phone:707-536-1828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty