Diamond Global Healthcare, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Colorado Springs, CO. Organization (NPI-2).
NPI number1609340777
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1609340777
- Entity type
- Organization (NPI-2)
- Legal business name
- Diamond Global Healthcare, INC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2019
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 133N00000X | Nutritionist | – | – | |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Numedical & Psychiatry Clinic (Doing Business As)
Practice location
3585 Van Teylingen Dr Ste DColorado Springs, CO 80917-4872
Phone 719-413-5005 · Fax 719-413-5006
Mailing address
3585 Van Teylingen Dr Ste DColorado Springs, CO 80917-4872
Phone 719-413-5005 · Fax 719-413-5006
Other practice locations
2402 Valley View Dr
Cedar Hill, TX 75104-6710
Cedar Hill, TX 75104-6710
Phone 719-413-5005 · Fax 719-413-5006
Authorized official
Modupe Mary Okonofua
Dr.
8178059137
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