Healthcare Provider Details

I. General information

NPI: 1659263101
Provider Name (Legal Business Name): JOURNEY INWARD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BROADWAY ST STE 102
BOULDER CO
80305-3300
US

IV. Provider business mailing address

4790 TABLE MESA DR STE 202
BOULDER CO
80305-5660
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-0334
  • Fax:
Mailing address:
  • Phone: 720-263-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH THERESE CARLSON
Title or Position: OWNER
Credential:
Phone: 970-215-4800