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Organization
HEADWATER PSYCHOTHERAPY, LLC
Active
Organization
HEADWATER PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE HOMER RACHELS LMFT (PRESIDENT, LEAD CLINICIAN)
(805) 405-6299
Entity
Organization
Contact information
Practice address
1800 BRIDGEGATE ST STE 108, WESTLAKE VILLAGE, CA 91361-1468
(805) 405-6299
Mailing address
1800 BRIDGEGATE ST STE 108, WESTLAKE VILLAGE, CA 91361-1468
(805) 405-6299
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
12/10/2025
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