THE MIND EMBODIED PC NPI 1679113450

NPI Information

  • NPI: 1679113450
  • Provider Name: THE MIND EMBODIED PC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 255 CANYON BLVD STE 200
    BOULDER, CO
    ZIP 80302
  • Phone: (720) 432-7654

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NPI Details

THE MIND EMBODIED PC is a mental health counselor in Boulder, CO. THE MIND EMBODIED PC NPI is 1679113450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

255 CANYON BLVD STE 200
BOULDER, CO
ZIP 80302-954
Phone: (720) 432-7654

The provider's authorized official is Caroline Leach .
The authorized official title is Co-owner, Secretary and has the following contact phone number (720) 432-7654.

The enumeration date for this NPI number is 1/9/2020 and was last updated on 2/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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