Organization
SOULMA LLC
Active
Other names
SoulMa Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DANA TSYCONYEA STARBYRD LMHC, LMT (FOUNDER)
(928) 202-8173
Entity
Organization
Contact information
Practice address
1650 38TH ST STE 100, BOULDER, CO 80301-2623
(928) 202-8173
Mailing address
1650 38TH ST STE 100, BOULDER, CO 80301-2623
(928) 202-8173
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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