| Elephant In The Room Llc | |
|
925 S Broadway Ste 211 Cortez CO 81321-4033 | |
| (719) 223-3261 | |
| (844) 412-7875 |
| Full Name | Elephant In The Room Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 925 S Broadway Ste 211, Cortez, Colorado |
| Authorized Official Name and Position | Zina Ortiz (CEO) |
| Authorized Official Contact | 7203106713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elephant In The Room Llc 7596 W Jewell Ave # 1-202 Lakewood CO 80232-6889 Ph: (719) 223-3261 | Elephant In The Room Llc 925 S Broadway Ste 211 Cortez CO 81321-4033 Ph: (719) 223-3261 |
| NPI Number | 1114748852 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114748852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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