Organization · NPI-2

Christine Bayless LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Longmont, CO

NPI number1881229771
StatusActive
Last updated in NPPESOct 5, 2020

Details

NPI
1881229771
Entity type
Organization (NPI-2)
Legal business name
Christine Bayless LLC
Organization subpart
No
Enumeration date
Mar 11, 2020
Certification date
Oct 5, 2020
Last updated
Oct 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Three Stones Wellness (Doing Business As)

Practice location

500 9th Ave
Longmont, CO 80501-4598

Phone 720-938-6071

Mailing address

3800 Pike Rd Apt 9204
Longmont, CO 80503-6926

Phone 720-938-6071

Authorized official

Christine Bayless
Psychotherapist/Owner
7209386071

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