Healthcare Provider Details

I. General information

NPI: 1780241588
Provider Name (Legal Business Name): HIDDEN TREASURES THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4975 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-5043
US

IV. Provider business mailing address

4975 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-5043
US

V. Phone/Fax

Practice location:
  • Phone: 719-419-3939
  • Fax: 719-419-3939
Mailing address:
  • Phone: 719-419-3939
  • Fax: 719-419-3939

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: KATI SAUL
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 719-419-3939