Provider Demographics
NPI:1598304768
Name:ART OF HEALING LLC
Entity Type:Organization
Organization Name:ART OF HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIGEON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:719-204-3607
Mailing Address - Street 1:3520 AUSTIN BLUFFS PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5756
Mailing Address - Country:US
Mailing Address - Phone:719-204-3607
Mailing Address - Fax:719-694-1846
Practice Address - Street 1:3520 AUSTIN BLUFFS PKWY STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5756
Practice Address - Country:US
Practice Address - Phone:719-204-3607
Practice Address - Fax:719-694-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-05
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000183174Medicaid