| The Mind Embodied Pc | |
|
255 Canyon Blvd Ste 200 Boulder CO 80302-4954 | |
| (720) 432-7654 | |
| Not Available |
| Full Name | The Mind Embodied Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 255 Canyon Blvd Ste 200, Boulder, Colorado |
| Authorized Official Name and Position | Caroline Leach (CO-OWNER, SECRETARY) |
| Authorized Official Contact | 7204327654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Embodied Pc 255 Canyon Blvd Ste 200 Boulder CO 80302-4954 Ph: (720) 432-7654 | The Mind Embodied Pc 255 Canyon Blvd Ste 200 Boulder CO 80302-4954 Ph: (720) 432-7654 |
| NPI Number | 1679113450 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679113450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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