| Penkaty Therapy Services | |
|
1170 Colorado Ave Grand Junction CO 81501-3523 | |
| (970) 241-2948 | |
| Not Available |
| Full Name | Penkaty Therapy Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1170 Colorado Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Michael Penkaty (OWNER) |
| Authorized Official Contact | 9703144039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penkaty Therapy Services 2890 Durango Dr Grand Junction CO 81503-2918 Ph: () - | Penkaty Therapy Services 1170 Colorado Ave Grand Junction CO 81501-3523 Ph: (970) 241-2948 |
| NPI Number | 1063050698 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063050698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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