Healthcare Provider Details

I. General information

NPI: 1033072004
Provider Name (Legal Business Name): SOTHERE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 W COLORADO AVE
COLORADO SPRINGS CO
80904-3837
US

IV. Provider business mailing address

1804 W COLORADO AVE
COLORADO SPRINGS CO
80904-3837
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: 720-432-7709
  • Fax: 719-490-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTIANNE LOUISE GOFF
Title or Position: OWNER AND CLINICAL DIRECTOR
Credential:
Phone: 719-494-9518