MINDFUL AUTHENTICITY, LLC
NPI 1114757630
Counselor - Professional in Fort Collins, CO
Active since August 07, 2024
1612 LAPORTE AVE UNIT 2, FORT COLLINS, CO 80521(970) 279-1117(970) 837-3401 Get Directions Write a Review
About Mindful Authenticity, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL AUTHENTICITY, LLC (NPI 1114757630) is a healthcare organization registered as a professional in Fort Collins, Colorado and active in the NPI registry since August 2024. The organization maintains 2 additional practice locations and lists Hali Neves, Owner, as its authorized official.
NPPES Registry Identity
NPI1114757630
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMINDFUL AUTHENTICITY, LLC
Location Address1612 LAPORTE AVE UNIT 2Fort Collins, CO 80521-2399
Mailing Address1163 Belleview DrFort Collins, CO 80526-3840 · (970) 279-1117 · Fax (970) 837-3401
Phone(970) 279-1117
Fax(970) 837-3401
Organization SubpartNo
Authorized OfficialHali NevesOwner · (970) 279-1117
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1114757630 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1612 LAPORTE AVE UNIT 2, Fort Collins, CO 80521
Secondary Practice Locations 2
Location 13360 Road 12Greybull, WY 82426-9624 · Phone (970) 279-1117 · Fax (970) 837-3401
Location 21163 Belleview DrFort Collins, CO 80526-3840 · Phone (970) 279-1117 · Fax (970) 837-3401
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114757630, enumerated as an "organization" on August 07, 2024.
The provider is located at 1612 LAPORTE AVE UNIT 2 FORT COLLINS, CO 80521 and the phone number is (970) 279-1117.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
