| Mancos Valley Center For Trauma And Attachment | |
|
104 S. Main St Suite 3 Mancos CO 81328 | |
| (970) 403-5488 | |
| (970) 422-7236 |
| Full Name | Mancos Valley Center For Trauma And Attachment |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 S. Main St, Mancos, Colorado |
| Authorized Official Name and Position | David Cole Awdish (OWNER/OPERATOR) |
| Authorized Official Contact | 9704035488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mancos Valley Center For Trauma And Attachment 844 Bauer Ave Mancos CO 81328-9255 Ph: (970) 403-5488 | Mancos Valley Center For Trauma And Attachment 104 S. Main St Suite 3 Mancos CO 81328 Ph: (970) 403-5488 |
| NPI Number | 1215446612 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 06/06/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215446612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0013328 (Colorado) | Primary |
Martin Model, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40594 Road G, Mancos, CO 81328 Phone: 970-533-7816 | |
Psyke, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 South Main Street, Mancos, CO 81328 Phone: 970-759-7328 Fax: 970-512-7848 | |
Green Umbrella Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 2nd Ave, Mancos, CO 81328 Phone: 303-437-4817 |