| Wild Rose Heart Llc | |
|
1200 Grant St Longmont CO 80501-3710 | |
| (970) 402-2246 | |
| Not Available |
| Full Name | Wild Rose Heart Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1200 Grant St, Longmont, Colorado |
| Authorized Official Name and Position | Kiara Del Rosario Rafael (LEAD SOMATIC THERAPIST) |
| Authorized Official Contact | 9704022246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Rose Heart Llc 1200 Grant St Longmont CO 80501-3710 Ph: (970) 402-2246 | Wild Rose Heart Llc 1200 Grant St Longmont CO 80501-3710 Ph: (970) 402-2246 |
| NPI Number | 1619869070 |
|---|---|
| Provider Enumeration Date | 07/18/2025 |
| Last Update Date | 07/18/2025 |
| Certification Date | 07/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619869070 | NPI | - | NPPES |
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