| Tangled Sage Llc | |
|
2501 W Colorado Ave # 3b Colorado Springs CO 80904-3070 | |
| (719) 355-4823 | |
| Not Available |
| Full Name | Tangled Sage Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2501 W Colorado Ave # 3b, Colorado Springs, Colorado |
| Authorized Official Name and Position | Patrick Mann (MEMBER) |
| Authorized Official Contact | 7193554823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangled Sage Llc 10 Scott St Colorado Springs CO 80906-3037 Ph: (719) 355-4823 | Tangled Sage Llc 2501 W Colorado Ave # 3b Colorado Springs CO 80904-3070 Ph: (719) 355-4823 |
| NPI Number | 1457128779 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457128779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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