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KHRAYTHONG SOUPHOLPHAKDY
NPI 1891902342
Counselor - Mental Health in Santa Rosa, CA

Active since May 16, 2007
1221 FARMERS LN, SUITE B, SANTA ROSA, CA 95405(707) 565-6953 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khraythong Soupholphakdy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHRAYTHONG SOUPHOLPHAKDY (NPI 1891902342) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1891902342
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHRAYTHONG SOUPHOLPHAKDY
Location Address1221 FARMERS LN, SUITE BSanta Rosa, CA 95405-6712
Mailing Address1221 Farmers LnSanta Rosa, CA 95405-6712 · (707) 565-6953
Phone(707) 565-6953
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 25, 2014
✔ NPI 1891902342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1221 FARMERS LN, Santa Rosa, CA 95405
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J & L MILLIER ASSOCIATES INC.
Custodial Care Facility
1221 FARMERS LN, SUITE A
SANTA ROSA, CA 95405
Sonoma County (707) 573-1003
MICHAEL A. ULLOA
Social Worker (Clinical)
1221 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 565-6900
DR. AFNAN R. CHOUDHRY, DENTAL CORPORATION
Clinic/Center (Dental)
1221 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (916) 798-3306
RONALD J. BOTELHO, MD, LTD
Anesthesiology (Pain Medicine)
1221 FARMERS LN, SUITE 500
SANTA ROSA, CA 95405
Sonoma County (707) 569-3230
CATHERINE A WESLEY
Registered Nurse
1221 FARMERS LN, SUITE A
SANTA ROSA, CA 95405
Sonoma County (707) 565-6904
CATHERINE LYNN HES P.T.
Physical Therapist
1221 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 578-7176
MICHAEL E. KEE
Counselor
1221 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 565-7430
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
1221 FARMERS LN, STE B
SANTA ROSA, CA 95405
Sonoma County (707) 578-7176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khraythong Soupholphakdy's NPI number?

The NPI number for Khraythong Soupholphakdy is 1891902342. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Khraythong Soupholphakdy located?

Khraythong Soupholphakdy practices at 1221 Farmers Ln Suite B, Santa Rosa, CA 95405. The listed phone number is (707) 565-6953.

What is Khraythong Soupholphakdy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Khraythong Soupholphakdy was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.