Provider Demographics
NPI:1699916320
Name:NAMASTE HEALING ARTS CENTER LLC
Entity type:Organization
Organization Name:NAMASTE HEALING ARTS CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASMUS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:303-881-8802
Mailing Address - Street 1:1803 S FOOTHILLS HWY
Mailing Address - Street 2:#210
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-7392
Mailing Address - Country:US
Mailing Address - Phone:303-881-8802
Mailing Address - Fax:
Practice Address - Street 1:1803 S FOOTHILLS HWY
Practice Address - Street 2:#210
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-7392
Practice Address - Country:US
Practice Address - Phone:303-881-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty