Provider Demographics
NPI:1073382339
Name:SOVEREIGN SOUL COUNSELING LLC
Entity Type:Organization
Organization Name:SOVEREIGN SOUL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-525-7660
Mailing Address - Street 1:68 INVERNESS LN E STE 203A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5108
Mailing Address - Country:US
Mailing Address - Phone:720-248-7071
Mailing Address - Fax:
Practice Address - Street 1:68 INVERNESS LN E STE 203A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5108
Practice Address - Country:US
Practice Address - Phone:720-248-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty