| My Therapy Place | |
|
11095 Mckissick Rd Peyton CO 80831-8326 | |
| (719) 310-9792 | |
| Not Available |
| Full Name | My Therapy Place |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11095 Mckissick Rd, Peyton, Colorado |
| Authorized Official Name and Position | Tiffany Sinclair (CEO) |
| Authorized Official Contact | 7193109792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Place 11095 Mckissick Rd Peyton CO 80831-8326 Ph: (719) 310-9792 | My Therapy Place 11095 Mckissick Rd Peyton CO 80831-8326 Ph: (719) 310-9792 |
| NPI Number | 1992347959 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992347959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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