# EARTH SPIRIT SOMATICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568387173
- **Authorized official:** DENISE KIMBALL LPC (OWNER)
- **Authorized official phone:** (503) 477-0775

## Contact information

- **Practice address:** 3157 SW QUARTZ AVE, REDMOND, OR 97756-7853
- **Practice address phone:** (503) 477-0775
- **Mailing address:** 3157 SW QUARTZ AVE, REDMOND, OR 97756-7853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2026
- **Last updated:** 08/12/2026