Provider Demographics
NPI:1851744791
Name:SOARING SPIRIT COUNSELING AND MINDFULNESS PRACTICES
Entity Type:Organization
Organization Name:SOARING SPIRIT COUNSELING AND MINDFULNESS PRACTICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-658-0723
Mailing Address - Street 1:1918 S LEMAY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1295
Mailing Address - Country:US
Mailing Address - Phone:970-658-0723
Mailing Address - Fax:
Practice Address - Street 1:1918 S LEMAY AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1294
Practice Address - Country:US
Practice Address - Phone:970-658-0723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty