NPI Code Details Logo

NPI 1376455295

NPI 1376455295 : WOVEN WITHIN LLC : BOULDER, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376455295
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WOVEN WITHIN LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/17/2026
-----------------------------------------------------
    Last Update Date     |    09/17/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3232 4TH ST 
-----------------------------------------------------
    City                 |    BOULDER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80304-2105
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    414-704-6665
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3232 4TH ST 
-----------------------------------------------------
    City                 |    BOULDER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80304-2105
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ART THERAPIST
-----------------------------------------------------
    Name                 |     ALLISON  ECKMANN 
-----------------------------------------------------
    Credential           |    MA, LPC, ATR-BC
-----------------------------------------------------
    Telephone            |    414-704-6665
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    221700000X
-----------------------------------------------------
    Taxonomy Name        |    Art Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.