Lifespan Psychiatry Of Colorado | |
195 S Lena St Ridgway CO 81432-8973 | |
(970) 579-0003 | |
Not Available |
Full Name | Lifespan Psychiatry Of Colorado |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 195 S Lena St, Ridgway, Colorado |
Authorized Official Name and Position | Carrie Shahbahrami (PMHNP/OWNER) |
Authorized Official Contact | 9705790003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifespan Psychiatry Of Colorado 2140 N 12th St Grand Junction CO 81501-2916 Ph: () - | Lifespan Psychiatry Of Colorado 195 S Lena St Ridgway CO 81432-8973 Ph: (970) 579-0003 |
NPI Number | 1295554475 |
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Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/07/2024 |
Certification Date | 10/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295554475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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