| Peaceful Spirit Treatment Center | |
|
535 Candelaria Dr Ignacio CO 81137-0800 | |
| (970) 563-4517 | |
| (970) 563-4504 |
| Full Name | Peaceful Spirit Treatment Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 535 Candelaria Dr, Ignacio, Colorado |
| Authorized Official Name and Position | Lori Ann Niewold (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9705634517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Spirit Treatment Center Po Box 800 Ignacio CO 81137-0800 Ph: (970) 563-4517 | Peaceful Spirit Treatment Center 535 Candelaria Dr Ignacio CO 81137-0800 Ph: (970) 563-4517 |
| NPI Number | 1164665956 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164665956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 163W00000X | Registered Nurse | (Colorado) | Secondary |
| 172A00000X | Driver | (Colorado) | Secondary |
Peaceful Spirit Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 296 Mouache Rd., Ignacio, CO 81137 Phone: 970-563-4555 Fax: 970-563-4618 | |
Rebecca Ledford Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3441 County Road 514, Ignacio, CO 81137 Phone: 970-749-8352 |