| The Winds Of Change Pllc | |
|
29029 Upper Bear Creek Rd Evergreen CO 80439-7738 | |
| (303) 481-2855 | |
| Not Available |
| Full Name | The Winds Of Change Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 29029 Upper Bear Creek Rd, Evergreen, Colorado |
| Authorized Official Name and Position | Damien Young (LMFT) |
| Authorized Official Contact | 3033193616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Winds Of Change Pllc Po Box 778 Evergreen CO 80437-0778 Ph: () - | The Winds Of Change Pllc 29029 Upper Bear Creek Rd Evergreen CO 80439-7738 Ph: (303) 481-2855 |
| NPI Number | 1417465337 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417465337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFT.0001480 (Colorado) | Primary |
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