| Anivana Therapeutic Services | |
|
4390 N Academy Blvd Ste 101b Colorado Springs CO 80918-6626 | |
| (719) 315-0728 | |
| Not Available |
| Full Name | Anivana Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4390 N Academy Blvd Ste 101b, Colorado Springs, Colorado |
| Authorized Official Name and Position | Rochelle Jacquelyn Rainville (THERAPIST) |
| Authorized Official Contact | 7193150728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anivana Therapeutic Services 4370 E Pikes Peak Ave Apt 217 Colorado Springs CO 80909-6771 Ph: (949) 370-0383 | Anivana Therapeutic Services 4390 N Academy Blvd Ste 101b Colorado Springs CO 80918-6626 Ph: (719) 315-0728 |
| NPI Number | 1033802939 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033802939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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