Healthcare Provider Details

I. General information

NPI: 1275428955
Provider Name (Legal Business Name): HEALING HOOVES COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 ODESSA LAKE ST
TIMNATH CO
80547-5803
US

IV. Provider business mailing address

5107 ODESSA LAKE ST
TIMNATH CO
80547-5803
US

V. Phone/Fax

Practice location:
  • Phone: 970-939-3899
  • Fax:
Mailing address:
  • Phone: 970-939-3899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMIE LEAH STAPLES
Title or Position: OWNER/THERAPIST
Credential: LPC, LAC
Phone: 970-939-3899