| Colorwell Therapy Llc | |
|
2000 Winton Rd S Ofc Park Rochester NY 14618-3970 | |
| (585) 340-7046 | |
| Not Available |
| Full Name | Colorwell Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2000 Winton Rd S Ofc Park, Rochester, New York |
| Authorized Official Name and Position | Demetric L. Pentelton (OWNER) |
| Authorized Official Contact | 7165782563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorwell Therapy Llc 2000 Winton Rd S Ofc Park Rochester NY 14618-3970 Ph: (585) 340-7046 | Colorwell Therapy Llc 2000 Winton Rd S Ofc Park Rochester NY 14618-3970 Ph: (585) 340-7046 |
| NPI Number | 1689382640 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689382640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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