Healthcare Provider Details

I. General information

NPI: 1518580406
Provider Name (Legal Business Name): SOVEREIGNTY COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2203 TAFT AVE
LOVELAND CO
80538-3119
US

IV. Provider business mailing address

2203 TAFT AVE
LOVELAND CO
80538-3119
US

V. Phone/Fax

Practice location:
  • Phone: 970-964-3133
  • Fax:
Mailing address:
  • Phone: 970-964-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE BROWN
Title or Position: OWNER/THERAPIST
Credential: LMFT
Phone: 970-964-3133