| Mind Gym Neurofeedback | |
|
5350 N Academy Blvd Ste 200 Colorado Springs CO 80918-4055 | |
| (720) 290-0154 | |
| (720) 222-5533 |
| Full Name | Mind Gym Neurofeedback |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5350 N Academy Blvd Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Leroy Matticks (CEO) |
| Authorized Official Contact | 7205135092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Gym Neurofeedback Po Box 21150 Boulder CO 80308-4150 Ph: (720) 290-0154 | Mind Gym Neurofeedback 5350 N Academy Blvd Ste 200 Colorado Springs CO 80918-4055 Ph: (720) 290-0154 |
| NPI Number | 1598461964 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598461964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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