Provider Demographics
NPI:1447289707
Name:HEALING IN MOTION
Entity type:Organization
Organization Name:HEALING IN MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ PUBLIC RELATIONS REP.
Authorized Official - Prefix:
Authorized Official - First Name:KJERSTEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:OSTROM-CONDOJANI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CAC III
Authorized Official - Phone:303-587-9206
Mailing Address - Street 1:8000 S LINCOLN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2714
Mailing Address - Country:US
Mailing Address - Phone:303-587-9206
Mailing Address - Fax:303-730-3740
Practice Address - Street 1:8000 S LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2714
Practice Address - Country:US
Practice Address - Phone:303-587-9206
Practice Address - Fax:303-730-3740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6335101YA0400X
CO5769101YA0400X
CO6060101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty