Organization · NPI-2

Evolve Child And Family Therapy

Community/Behavioral Health · Longmont, CO

NPI number1316318892
StatusActive
Last updated in NPPESOct 9, 2015

Details

NPI
1316318892
Entity type
Organization (NPI-2)
Legal business name
Evolve Child And Family Therapy
Organization subpart
No
Enumeration date
Oct 9, 2015
Last updated
Oct 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthLPCC.0013939COYes

Other names

  • Lea Reinbolt Cornell (Doing Business As)

Practice location

2314 Judson St
Longmont, CO 80501-1015

Phone 720-737-7886

Mailing address

2314 Judson St
Longmont, CO 80501-1015

Phone 720-737-7886

Authorized official

Lea R Cornell
Child And Family Therapist
7206008733

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