| Lisa L. Mikesell Llc | |
|
1801 Sunset Pl Ste A Longmont CO 80501-6575 | |
| (303) 776-1117 | |
| (303) 485-2323 |
| Full Name | Lisa L. Mikesell Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1801 Sunset Pl Ste A, Longmont, Colorado |
| Authorized Official Name and Position | Lisa Lee Mikesell (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3037761117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa L. Mikesell Llc 1300 Gay Cir Longmont CO 80501-1876 Ph: (303) 249-7910 | Lisa L. Mikesell Llc 1801 Sunset Pl Ste A Longmont CO 80501-6575 Ph: (303) 776-1117 |
| NPI Number | 1407377245 |
|---|---|
| Provider Enumeration Date | 07/02/2017 |
| Last Update Date | 07/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407377245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 992369 (Colorado) | Primary |
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