Organization
EMBODIED ESSENCE, PLLC
Active
Other names
True Essence Therapy, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH STALLER LPC, LAC, ATR-BC (EMPLOYEE, FOUNDER, THERAPIST)
(541) 951-6059
Entity
Organization
Contact information
Practice address
737 29TH ST STE 102A, BOULDER, CO 80303-2317
(720) 772-1606
Mailing address
3587 NYLAND WAY, LAFAYETTE, CO 80026-8946
(720) 772-1606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/15/2023
Last updated
05/26/2023
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