| |
2261 Holmes Rd Cotopaxi CO 81223-8866 | |
(281) 705-2790 | |
Not Available |
Full Name | |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2261 Holmes Rd, Cotopaxi, Colorado |
Authorized Official Name and Position | Kayli Hardin (OWNER) |
Authorized Official Contact | 2817052790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2261 Holmes Rd Cotopaxi CO 81223-8866 Ph: (281) 705-2790 | 2261 Holmes Rd Cotopaxi CO 81223-8866 Ph: (281) 705-2790 |
NPI Number | 1487428991 |
---|---|
Provider Enumeration Date | 11/14/2023 |
Last Update Date | 12/25/2024 |
Certification Date | 12/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487428991 | NPI | - | NPPES |
1477997906 | Other | INDIVIDUAL NPI FOR KAYLI CROSS | |
1942973961 | Other | INDIVIDUAL NPI FOR STEPHANIE KNUDSEN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |