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: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N CASCADE AVE STE 101
COLORADO SPRINGS CO
80903-3308
US

IV. Provider business mailing address

525 N CASCADE AVE STE 101
COLORADO SPRINGS CO
80903-3308
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTIANNE L GOFF
Title or Position: OWNER
Credential: LCSW
Phone: 720-432-7709