| Freedom Tms Of Pueblo Llc | |
|
201 W 8th St Ste 350 Pueblo CO 81003-3040 | |
| (682) 331-5592 | |
| Not Available |
| Full Name | Freedom Tms Of Pueblo Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 W 8th St Ste 350, Pueblo, Colorado |
| Authorized Official Name and Position | Leland Devaughn (MEMBET) |
| Authorized Official Contact | 6823315592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Tms Of Pueblo Llc 201 W 8th St Ste 350 Pueblo CO 81003-3040 Ph: (682) 331-5592 | Freedom Tms Of Pueblo Llc 201 W 8th St Ste 350 Pueblo CO 81003-3040 Ph: (682) 331-5592 |
| NPI Number | 1609722727 |
|---|---|
| Provider Enumeration Date | 03/10/2026 |
| Last Update Date | 03/10/2026 |
| Certification Date | 03/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609722727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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