Premier Mental Health Healing Pathways
Nurse Practitioner, Psych/Mental Health in Castle Rock, CO. Organization (NPI-2).
NPI number1972385508
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1972385508
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Mental Health Healing Pathways
- Organization subpart
- No
- Enumeration date
- Oct 18, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
115 Wilcox St Ste 246Castle Rock, CO 80104-1992
Phone 720-525-5231
Mailing address
4044 Eagle Tail LnCastle Rock, CO 80104-7927
Phone 720-525-5231
Authorized official
Beverly White
Authorized Official
7205255231
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All 23 Psychiatric/Mental Health Nurse Practitioner providers in Castle Rock · All 1,947 providers in Castle Rock
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