Provider Demographics
NPI:1124660105
Name:HEALING MINDS BODIES AND SOULS
Entity type:Organization
Organization Name:HEALING MINDS BODIES AND SOULS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-545-8910
Mailing Address - Street 1:11742 E ASBURY PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1104
Mailing Address - Country:US
Mailing Address - Phone:406-545-8910
Mailing Address - Fax:719-625-7610
Practice Address - Street 1:1181 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2232
Practice Address - Country:US
Practice Address - Phone:406-545-8910
Practice Address - Fax:719-625-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty