Provider Demographics
NPI:1487229431
Name:THE HAUS OF HEALING INC
Entity Type:Organization
Organization Name:THE HAUS OF HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:TRAYNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:951-233-4499
Mailing Address - Street 1:1132 BEAUMONT AVE # 106
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-1819
Mailing Address - Country:US
Mailing Address - Phone:951-233-4499
Mailing Address - Fax:951-797-0192
Practice Address - Street 1:1132 BEAUMONT AVE # 106
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-1819
Practice Address - Country:US
Practice Address - Phone:951-233-4499
Practice Address - Fax:951-797-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty