Organization
SOUL ALCHEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA E FELLERS YI, ACHE HC (YOGA INSTRUCTOR AND LIFE COACH)
(720) 418-9492
Entity
Organization
Contact information
Practice address
14231 E 4TH AVE STE 370, AURORA, CO 80011-8720
(720) 418-9492
Mailing address
9341 TELLER ST, WESTMINSTER, CO 80021-4812
(303) 420-0581
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912435918
—
CO
Enumeration date
06/02/2017
Last updated
06/16/2018
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