Provider Demographics
NPI:1760968457
Name:HEALINGTHEBEING
Entity Type:Organization
Organization Name:HEALINGTHEBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDELTRAUD
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-847-9683
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-2273
Mailing Address - Country:US
Mailing Address - Phone:303-847-9683
Mailing Address - Fax:
Practice Address - Street 1:328 MASSACHUSETTS AVE.
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513-8051
Practice Address - Country:US
Practice Address - Phone:303-847-9683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.09924176251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01873571Medicaid