| Kristin Lavelle | |
|
80 Garden Ctr Ste 128 Broomfield CO 80020-2622 | |
| (303) 554-0357 | |
| Not Available |
| Full Name | Kristin Lavelle |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 80 Garden Ctr Ste 128, Broomfield, Colorado |
| Authorized Official Name and Position | Kristin Lavelle (THERAPIST) |
| Authorized Official Contact | 3035540357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Lavelle Po Box 1023 Lafayette CO 80026-4023 Ph: (303) 514-1688 | Kristin Lavelle 80 Garden Ctr Ste 128 Broomfield CO 80020-2622 Ph: (303) 554-0357 |
| NPI Number | 1548769805 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 02/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548769805 | NPI | - | NPPES |
| 1336456573 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0011581 (Colorado) | Primary |
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