| Hopelight Behavioral Health | |
|
1351 Collyer St Longmont CO 80501-3310 | |
| (303) 775-7723 | |
| Not Available |
| Full Name | Hopelight Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1351 Collyer St, Longmont, Colorado |
| Authorized Official Name and Position | Edward Bowen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3037762625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopelight Behavioral Health 1351 Collyer St Longmont CO 80501-3310 Ph: (303) 775-7723 | Hopelight Behavioral Health 1351 Collyer St Longmont CO 80501-3310 Ph: (303) 775-7723 |
| NPI Number | 1629649256 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629649256 | NPI | - | NPPES |
| 9000156356 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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