| Organization Name: | SODAWELLNESS |
| NPI Number: | 1649633785 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES SODA (OWNER) |
| Mailing Address: | 174 Midland Ave Basalt |
| State: | CO US |
| Postal Code: | 816218911 |
| Phone Number: | 3034890420 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2016 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ACD.0000453 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |