SANDOVAL THERAPY AND CONSULTING LLC NPI 1871273375

NPI Information

  • NPI: 1871273375
  • Provider Name: SANDOVAL THERAPY AND CONSULTING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: RADIANT PATHWAYS COUNSELING & WELLNESS
  • Address: 1942 BROADWAY STE 314C
    BOULDER, CO
    ZIP 80302
  • Phone: (319) 855-7899

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NPI Details

SANDOVAL THERAPY AND CONSULTING LLC is a mental health (including community mental health center) clinic center in Boulder, CO. SANDOVAL THERAPY AND CONSULTING LLC NPI is 1871273375. The provider is registered as an organization entity type.
The provider Is Doing Business As Radiant Pathways Counseling & Wellness.

The provider's business location address is:

1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302-233
Phone: (319) 855-7899
Fax: (303) 496-0786

The provider's authorized official is Jacob Andrew Sandoval .
The authorized official title is Owner, Ceo and has the following contact phone number (319) 855-7899.

The enumeration date for this NPI number is 7/19/2023 and was last updated on 1/2/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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