Soul Dogs Inc Group Practice

LBN: Soul Dogs Inc Group Practice
Soul Dogs Inc Group Practice is an health care organization with primary practice located at 5005 W 81St Pl Unit 201 , Westminster CO 80031-4380. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Soul Dogs Inc Group Practice can be contacted via phone (303) 250-2785, or through Anderson, Christian via phone (303) 250-2785.

Contact Information

Primary practice address
5005 W 81St Pl Unit 201 Westminster CO 80031-4380
Phone: (303) 250-2785
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Christian PHD ACSW LCSW
Phone: (303) 250-2785

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1114670478
LBN Legal business name Soul Dogs Inc Group Practice
DBA Doing business as
Authorized official Anderson, Christian PHD ACSW LCSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1114670478 NPPES
Colorado MEDICAID 1427454289
Colorado MEDICAID 1851946099

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