| Peak Serenity Counseling & Nutrition Llc | |
|
1942 Broadway Ste 314c Boulder CO 80302-5233 | |
| (330) 703-0435 | |
| Not Available |
| Full Name | Peak Serenity Counseling & Nutrition Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Authorized Official Name and Position | Crista L. Studer (OWNER) |
| Authorized Official Contact | 3307030435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Serenity Counseling & Nutrition Llc 808 S Arlington Mill Dr Apt 204 Arlington VA 22204-6019 Ph: (330) 703-0435 | Peak Serenity Counseling & Nutrition Llc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (330) 703-0435 |
| NPI Number | 1457978900 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457978900 | NPI | - | NPPES |
| 1437621265 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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