Provider Demographics
NPI:1851055768
Name:MAYAMOTION HEALING PLLC
Entity Type:Organization
Organization Name:MAYAMOTION HEALING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO MAYAMOTION HEALING
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:SOL
Authorized Official - Last Name:DANSIE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-903-2938
Mailing Address - Street 1:4705 SPINE RD APT B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5339
Mailing Address - Country:US
Mailing Address - Phone:970-903-2938
Mailing Address - Fax:
Practice Address - Street 1:4705 SPINE RD APT B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5339
Practice Address - Country:US
Practice Address - Phone:970-903-2938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health