Provider Demographics
NPI:1336904135
Name:HEALING JOURNEY COUNSELING & COACHING LLC
Entity Type:Organization
Organization Name:HEALING JOURNEY COUNSELING & COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FORSYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:719-201-2735
Mailing Address - Street 1:15954 JACKSON CREEK PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8532
Mailing Address - Country:US
Mailing Address - Phone:719-201-2735
Mailing Address - Fax:
Practice Address - Street 1:3185 WATERFRONT DR
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-7980
Practice Address - Country:US
Practice Address - Phone:719-201-2735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty