Organization
EMOTIONAL WELLBEING JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICENA FONTAINE LPC (OWNER)
(970) 646-1404
Entity
Organization
Contact information
Practice address
1635 FOXTRAIL DRIVE, LOVELAND, CO 80538-9086
(970) 646-1404
Mailing address
2314 E 13TH ST, LOVELAND, CO 80537-5121
(970) 646-1404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000208557
—
CO
Enumeration date
08/06/2022
Last updated
07/16/2025
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