| The Other Road Counseling Pllc | |
|
2350 17th Ave Ste 107 Longmont CO 80503-1738 | |
| (970) 217-2486 | |
| Not Available |
| Full Name | The Other Road Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2350 17th Ave Ste 107, Longmont, Colorado |
| Authorized Official Name and Position | Mallorie Danielle Smolen (OWNER/LCSW) |
| Authorized Official Contact | 9705731655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Other Road Counseling Pllc 2004 W 15th St Ste 2 Loveland CO 80538-3551 Ph: () - | The Other Road Counseling Pllc 2350 17th Ave Ste 107 Longmont CO 80503-1738 Ph: (970) 217-2486 |
| NPI Number | 1346037595 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346037595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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