Spiritual Healing Life Coach

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SPIRITUAL HEALING LIFE COACH

Practice address

278 7TH St E
Saint Paul, MN 55101-2349

Phone

(612) 236-3204

NPI assigned

May 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ebony Stevenson

Title

Ceo

Phone

(612) 236-3204

Specialties & licenses 2

Addresses

Other names 1

• Spiritual Healing Sober Living Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1548017759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 ALBEMARLE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174418",
            "telephone_number": "612-236-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012349",
            "telephone_number": "612-236-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL HEALING LIFE COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-236-3204"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spiritual Healing Sober Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie Spinolo, PA-C
• Patricia Spitzmueller, LADC
• William Roger Spitzmueller, PSY.D.
• Laura Spong, RN
• Elizabeth J. Spooner-Falde, CNS
• Ashley Sporer Evenson, LICSW

• Addiction (Substance Use Disorder) Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.