| Mountainside Counseling, Pllc | |
|
1023 39th Ave Ste B Greeley CO 80634-2502 | |
| (970) 408-0404 | |
| Not Available |
| Full Name | Mountainside Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1023 39th Ave Ste B, Greeley, Colorado |
| Authorized Official Name and Position | Laura Moulton (OWNER) |
| Authorized Official Contact | 3038194774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Counseling, Pllc 1023 39th Ave Ste B Greeley CO 80634-2502 Ph: (970) 408-0404 | Mountainside Counseling, Pllc 1023 39th Ave Ste B Greeley CO 80634-2502 Ph: (970) 408-0404 |
| NPI Number | 1447729132 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447729132 | NPI | - | NPPES |
| 1700303286 | Other | CO | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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