| Sovereign Soul Counseling Llc | |
|
68 Inverness Ln E Ste 203a Englewood CO 80112-5108 | |
| (720) 248-7071 | |
| Not Available |
| Full Name | Sovereign Soul Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 68 Inverness Ln E Ste 203a, Englewood, Colorado |
| Authorized Official Name and Position | Tegan Rowley (OWNER) |
| Authorized Official Contact | 3035257660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Soul Counseling Llc 68 Inverness Ln E Ste 203a Englewood CO 80112-5108 Ph: (720) 248-7071 | Sovereign Soul Counseling Llc 68 Inverness Ln E Ste 203a Englewood CO 80112-5108 Ph: (720) 248-7071 |
| NPI Number | 1073382339 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 5991140022 |
|---|---|
| Medicare Enrollment ID | O20240228004547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073382339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tegan Marie Rowley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811654767 PECOS PAC ID: 6800231937 Enrollment ID: I20240403003790 |
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