| Coalta Therapy And Wellness | |
|
255 Canyon Blvd Ste 300e Boulder CO 80302-4979 | |
| (303) 569-9250 | |
| Not Available |
| Full Name | Coalta Therapy And Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 Canyon Blvd Ste 300e, Boulder, Colorado |
| Authorized Official Name and Position | Alexandra Macias (OWNER) |
| Authorized Official Contact | 3104083339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coalta Therapy And Wellness 5670 W 110th Pl Westminster CO 80020-3244 Ph: (310) 408-3339 | Coalta Therapy And Wellness 255 Canyon Blvd Ste 300e Boulder CO 80302-4979 Ph: (303) 569-9250 |
| NPI Number | 1568287365 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568287365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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