Healthcare Provider Details

I. General information

NPI: 1376455295
Provider Name (Legal Business Name): WOVEN WITHIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 4TH ST
BOULDER CO
80304-2105
US

IV. Provider business mailing address

3232 4TH ST
BOULDER CO
80304-2105
US

V. Phone/Fax

Practice location:
  • Phone: 414-704-6665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON ECKMANN
Title or Position: ART THERAPIST
Credential: MA, LPC, ATR-BC
Phone: 414-704-6665