Embodied Illumination Psychotherapy

LBN: Embodied Illumination Psychotherapy
Embodied Illumination Psychotherapy is an health care organization with primary practice located at 600 S Airport Rd , Longmont CO 80503-6424. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Embodied Illumination Psychotherapy can be contacted via phone (303) 883-6921, or through Ryan, Lyndsey Nicole via phone (303) 883-6921.

Contact Information

Primary practice address
600 S Airport Rd Longmont CO 80503-6424
Phone: (303) 883-6921
Fax: (303) 362-9464
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Lyndsey Nicole LPC, LAC, ACS
Phone: (303) 883-6921

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1598479156
LBN Legal business name Embodied Illumination Psychotherapy
DBA Doing business as
Authorized official Ryan, Lyndsey Nicole LPC, LAC, ACS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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