| A New Leaf Therapy, Llc | |
|
315 Colorado Ave Pueblo CO 81004-2046 | |
| (719) 948-7120 | |
| (719) 289-7144 |
| Full Name | A New Leaf Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 315 Colorado Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Regan Young (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7199487120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Leaf Therapy, Llc 315 Colorado Ave Pueblo CO 81004-2046 Ph: (719) 948-7120 | A New Leaf Therapy, Llc 315 Colorado Ave Pueblo CO 81004-2046 Ph: (719) 948-7120 |
| NPI Number | 1063868263 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 05/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063868263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY3290 (Colorado) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | PSY3290 (Colorado) | Secondary |
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