Life Untangled, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

LIFE UNTANGLED, LLC

Practice address

330 W Main St Ste B
Sterling, CO 80751-3177

Phone

(970) 520-0738

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Jamie Dawn Soucie, MS, LPC

Title

Licensed Professional Counselor

Phone

(970) 520-0738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1669838710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W MAIN ST STE B",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513177",
            "telephone_number": "970-520-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W MAIN ST STE B",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513177",
            "telephone_number": "970-520-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNTANGLED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SOUCIE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "970-520-0738",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Sterling, CO
• Providers in Sterling, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.