| Vive Llc | |
|
1150 Maxwell Ave Ste 2nd Boulder CO 80304-4185 | |
| (303) 449-2516 | |
| Not Available |
| Full Name | Vive Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1150 Maxwell Ave Ste 2nd, Boulder, Colorado |
| Authorized Official Name and Position | Willow Rubin (EXECUTIVE DIRECTOR OF CLINICAL SERV) |
| Authorized Official Contact | 3034492516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vive Llc 1150 Maxwell Ave Ste 2nd Boulder CO 80304-4185 Ph: (303) 449-2516 | Vive Llc 1150 Maxwell Ave Ste 2nd Boulder CO 80304-4185 Ph: (303) 449-2516 |
| NPI Number | 1174911788 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174911788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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