| Tandem Wellness Center, Llc | |
|
1401 E Bridge St Brighton CO 80601-1950 | |
| (303) 359-1352 | |
| (303) 835-2534 |
| Full Name | Tandem Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1401 E Bridge St, Brighton, Colorado |
| Authorized Official Name and Position | Dianna Lynn Sandoval (OWNER/DIRECTOR) |
| Authorized Official Contact | 3033591352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tandem Wellness Center, Llc 1401 E Bridge St Brighton CO 80601-1950 Ph: (303) 359-1352 | Tandem Wellness Center, Llc 1401 E Bridge St Brighton CO 80601-1950 Ph: (303) 359-1352 |
| NPI Number | 1588081251 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588081251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4678 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 3395 (Colorado) | Primary |
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