| Back To Life Counseling, Llc | |
|
500 9th Ave Ste 10 Longmont CO 80501-4599 | |
| (303) 651-2554 | |
| (303) 485-2477 |
| Full Name | Back To Life Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 9th Ave Ste 10, Longmont, Colorado |
| Authorized Official Name and Position | David Allen Packard (OWNER DIRECTOR) |
| Authorized Official Contact | 3036512554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Counseling, Llc 500 9th Ave Ste 10 Longmont CO 80501-4599 Ph: (303) 651-2554 | Back To Life Counseling, Llc 500 9th Ave Ste 10 Longmont CO 80501-4599 Ph: (303) 651-2554 |
| NPI Number | 1134581580 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134581580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1751-01 (Colorado) | Primary |
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