SOPHIA COLLECTIVE LLC (NPI# 1831754399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831754399 |
| Entity Type | Organization |
| Organization Name | SOPHIA COLLECTIVE LLC |
| Practice Address |
619 N Morton St Bloomington IN 47404-4096 |
| Practice Telephone | 8128222592 |
| Mailing Telephone | 8128222592 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | TESSA THOMPSON (CO-OWNER) |
| Authorized Official Telephone | 8128222592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
619 N MORTON ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1245886647 | Jaclyn Lawfer | Chiropractor | 1210 Towanda Ave Ste 17, Bloomington, IL 61701-7415 | 2019-08-13 |
| 1578116190 | Zach Lundbohm | Chiropractor | 7700 W Old Shakopee Rd Ste 180, Bloomington, MN 55438-3302 | 2019-07-23 |
| 1396398020 | Anastasia Cannedy | Chiropractor | 3701 W Old Shakopee Rd Ste 550, Bloomington, MN 55431-3558 | 2019-07-22 |
| 1780236356 | Enhanced Health Chiropractic, LLC | Chiropractor | 4651 W Richland Plaza Dr Ste P, Bloomington, IN 47404-9777 | 2019-07-12 |
| 1538659776 | Amanda Jo Mccoy | Chiropractor | 565 N Walnut St, Bloomington, IN 47404-3896 | 2018-05-14 |
| 1326560582 | Gayla Suzanna Mae Thombleson | Chiropractor | 2901 N Walnut St, Bloomington, IN 47404-2065 | 2017-07-10 |
| 1285154765 | Matthew Michael Myers | Chiropractor | 11133 France Ave S, Bloomington, MN 55431-3857 | 2017-06-26 |
| 1932550506 | Michael Colich | Chiropractor | 8701 Penn Ave S, Bloomington, MN 55431-2020 | 2016-06-24 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on SOPHIA COLLECTIVE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.