| Lifespan Psychiatry Of Colorado | |
| 
					195 S Lena St Ridgway CO 81432-8973  | |
| (970) 579-0003 | |
| Not Available | 
| Full Name | Lifespan Psychiatry Of Colorado | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 195 S Lena St, Ridgway, Colorado | 
| Authorized Official Name and Position | Carrie Shahbahrami (PMHNP/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 2140 N 12th St Grand Junction CO 81501-2916 Ph: () -  | Lifespan Psychiatry Of Colorado 195 S Lena St Ridgway CO 81432-8973 Ph: (970) 579-0003  | 
| NPI Number | 1295554475 | 
|---|---|
| Provider Enumeration Date | 10/07/2024 | 
| Last Update Date | 10/07/2024 | 
| Certification Date | 10/06/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295554475 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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