# SASA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soulmates And Self-Actualization
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548017247
- **Authorized official:** COLLEEN EVANS LMFT (OWNER/MEMBER/MANAGER)
- **Authorized official phone:** (719) 510-7056

## Contact information

- **Practice address:** 3204 N ACADEMY BLVD STE 200, COLORADO SPRINGS, CO 80917-5163
- **Practice address phone:** (197) 510-7056
- **Practice address fax:** (614) 656-6614
- **Mailing address:** PO BOX 351, CONVOY, OH 45832-0351
- **Mailing address phone:** (719) 510-7056
- **Mailing address fax:** (614) 656-6614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024
