Legacy Mental Health Llc | |
13575 E 104th Ave Unit 300 Commerce City CO 80022-8401 | |
(720) 689-1165 | |
(616) 369-0917 |
Full Name | Legacy Mental Health Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13575 E 104th Ave Unit 300, Commerce City, Colorado |
Authorized Official Name and Position | Typhanie Beasley (NURSE PRACTITIONER) |
Authorized Official Contact | 7203386870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Legacy Mental Health Llc 10940 S Parker Rd # 179 Parker CO 80134-7440 Ph: (720) 338-6870 | Legacy Mental Health Llc 13575 E 104th Ave Unit 300 Commerce City CO 80022-8401 Ph: (720) 689-1165 |
NPI Number | 1104680271 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 02/09/2024 |
Certification Date | 02/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104680271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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