Provider Demographics
NPI:1427652213
Name:LUISENO HEALING LLC
Entity type:Organization
Organization Name:LUISENO HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NATAEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON-KRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LMFT, LAC
Authorized Official - Phone:970-658-0581
Mailing Address - Street 1:1015 W HORSETOOTH RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5980
Mailing Address - Country:US
Mailing Address - Phone:970-658-0581
Mailing Address - Fax:
Practice Address - Street 1:1015 W HORSETOOTH RD STE 203
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5980
Practice Address - Country:US
Practice Address - Phone:970-658-0581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health