| Brain Health Psychotherapy, P.c. | |
|
1400 Main St. Suite 200 Louisville CO 80027 | |
| (303) 666-1081 | |
| (303) 666-1082 |
| Full Name | Brain Health Psychotherapy, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1400 Main St., Louisville, Colorado |
| Authorized Official Name and Position | Kathleen H Shields (CO-OWNER) |
| Authorized Official Contact | 3037205819890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Health Psychotherapy, P.c. 1400 Main St. Suite 200 Louisville CO 80027 Ph: (303) 666-1081 | Brain Health Psychotherapy, P.c. 1400 Main St. Suite 200 Louisville CO 80027 Ph: (303) 666-1081 |
| NPI Number | 1891936308 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891936308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991522 (Colorado) | Primary |
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