Integrated Insight Therapy, LLC
Clinic/Center, Primary Care in Cortez, CO. Organization (NPI-2).
NPI number1982308045
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1982308045
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Insight Therapy, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – |
Other names
- Cortez Location (Other Name)
Practice location
136 W 1st StCortez, CO 81321-3510
Phone 970-201-1467 · Fax 970-399-3648
Mailing address
555 Meeker StDelta, CO 81416-1920
Phone 970-201-1467 · Fax 970-399-3648
Authorized official
Vicky Ubell
Credentialing / Billing
9706150076
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