| Dove Haven Llc | |
|
312 5 Th Street Walden CO 80480 | |
| (720) 810-1386 | |
| Not Available |
| Full Name | Dove Haven Llc |
|---|---|
| Speciality | Psychologist |
| Location | 312 5 Th Street, Walden, Colorado |
| Authorized Official Name and Position | Lisa Marr (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7208101386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Haven Llc Po Box 882 Walden CO 80480-0882 Ph: (720) 810-1386 | Dove Haven Llc 312 5 Th Street Walden CO 80480 Ph: (720) 810-1386 |
| NPI Number | 1194215939 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194215939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY.0004733 (Colorado) | Primary |
Colorado West Regional Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Mckinley Street, Walden, CO 80480 Phone: 970-241-6023 | |
Colorado West Regional Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Mckinley St, Walden, CO 80480 Phone: 970-723-0055 Fax: 970-723-4732 |