Organization · Type 2 NPI
Mindful Authenticity, LLC
Professional Counselor · Fort Collins, CO
NPI number
1114757630
Active
Practice location
1612 Laporte Ave Unit 2
Fort Collins, CO 80521-2399
Fax (970) 837-3401
Mailing address
1163 Belleview Dr
Fort Collins, CO 80526-3840
Other practice locations
- 3360 Road 12, Greybull, WY 82426-9624 · (970) 279-1117
- 1163 Belleview Dr, Fort Collins, CO 80526-3840 · (970) 279-1117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1114757630
Mindful Authenticity, LLC's National Provider Identifier is 1114757630, issued on Aug 7, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on Aug 7, 2024.