| My Therapy Matters Llc | |
|
1834 Vinewood Lane Ste 217 Pueblo CO 81005-2559 | |
| (719) 404-6618 | |
| Not Available |
| Full Name | My Therapy Matters Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1834 Vinewood Lane, Pueblo, Colorado |
| Authorized Official Name and Position | Clive Hallam (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4358170155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Matters Llc 1094 S Greenway Dr Pueblo West CO 81007-5092 Ph: (435) 817-0155 | My Therapy Matters Llc 1834 Vinewood Lane Ste 217 Pueblo CO 81005-2559 Ph: (719) 404-6618 |
| NPI Number | 1538752423 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538752423 | NPI | - | NPPES |
| 1811154321 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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