Advanced Trauma Recovery LLC
Psychologist, Clinical in Castle Rock, CO. Organization (NPI-2).
NPI number1285190751
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1285190751
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Trauma Recovery LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
755 Maleta Ln Ste 202Castle Rock, CO 80108-7611
Phone 949-233-5358
Mailing address
755 Maleta Ln Ste 202Castle Rock, CO 80108-7611
Phone 949-233-5358
Authorized official
Mercedes Lavoy
Clinical Psychologist
9492335358
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