| Journeywell | |
|
40495 County Road 13 Elizabeth CO 80107-8904 | |
| (303) 478-8734 | |
| Not Available |
| Full Name | Journeywell |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 40495 County Road 13, Elizabeth, Colorado |
| Authorized Official Name and Position | Lee Dudley (OWNER) |
| Authorized Official Contact | 3034788734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeywell 36700 Mossberg Ct Elizabeth CO 80107-8473 Ph: (303) 478-8734 | Journeywell 40495 County Road 13 Elizabeth CO 80107-8904 Ph: (303) 478-8734 |
| NPI Number | 1700479904 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700479904 | NPI | - | NPPES |
| 270183553 | Medicaid | CO | |
| 33000263 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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