Sunflower Mountain Mental Health, Llc | |
805 Eagleridge Blvd Ste 140 Pueblo CO 81008-2354 | |
(719) 679-5022 | |
(719) 888-1673 |
Full Name | Sunflower Mountain Mental Health, Llc |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 805 Eagleridge Blvd Ste 140, Pueblo, Colorado |
Authorized Official Name and Position | Matthew Blubaugh (OFFICE MANAGER) |
Authorized Official Contact | 7196795022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunflower Mountain Mental Health, Llc 805 Eagleridge Blvd Ste 140 Pueblo CO 81008-2354 Ph: (719) 679-5022 | Sunflower Mountain Mental Health, Llc 805 Eagleridge Blvd Ste 140 Pueblo CO 81008-2354 Ph: (719) 679-5022 |
NPI Number | 1336957901 |
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Provider Enumeration Date | 12/27/2024 |
Last Update Date | 12/27/2024 |
Certification Date | 12/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336957901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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