| West Central Mental Health Center, Inc. | |
| 
					714 Front St Leadville CO 80461-3921  | |
| (719) 486-0985 | |
| Not Available | 
| Full Name | West Central Mental Health Center, Inc. | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 714 Front St, Leadville, Colorado | 
| Authorized Official Name and Position | Mandy Jo Kaisner (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 7192752351 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| West Central Mental Health Center, Inc. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351  | West Central Mental Health Center, Inc. 714 Front St Leadville CO 80461-3921 Ph: (719) 486-0985  | 
| NPI Number | 1952140006 | 
|---|---|
| Provider Enumeration Date | 05/20/2024 | 
| Last Update Date | 05/20/2024 | 
| Certification Date | 05/14/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952140006 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
Susanne Neal Dba Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Harrison Ave, Leadville, CO 80461 Phone: 719-293-0750  | |
Colorado Autism Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Poplar St, Leadville, CO 80461 Phone: 720-584-8055 Fax: 303-957-2251  | |
Lake County Government Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 6th St, Leadville, CO 80461 Phone: 719-486-2088  | |
Colorado Autism Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Poplar St, Leadville, CO 80461 Phone: 719-584-8055 Fax: 303-957-2251  | |
St. Vincent General Hospital District Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 822 W 4th Street, Leadville, CO 80461 Phone: 719-486-0230 Fax: 719-486-1077  | |
West Central Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985  | |
Lake County Government Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-2088  |