| Lifespan Psychiatry Of Colorado Inc. | |
|
641 E Main St Unit A Cortez CO 81321-3349 | |
| (970) 579-0003 | |
| Not Available |
| Full Name | Lifespan Psychiatry Of Colorado Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 641 E Main St Unit A, Cortez, Colorado |
| Authorized Official Name and Position | Carrie Shahbahrami (OWNER) |
| Authorized Official Contact | 9705790003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychiatry Of Colorado Inc. 2140 N 12th St Grand Junction CO 81501-2916 Ph: () - | Lifespan Psychiatry Of Colorado Inc. 641 E Main St Unit A Cortez CO 81321-3349 Ph: (970) 579-0003 |
| NPI Number | 1578358263 |
|---|---|
| Provider Enumeration Date | 04/12/2025 |
| Last Update Date | 04/12/2025 |
| Certification Date | 04/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578358263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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