Mind Gym Llc | |
2861 W 120th Ave Ste 220 Westminster CO 80234-2985 | |
(720) 290-0154 | |
(720) 222-5533 |
Full Name | Mind Gym Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2861 W 120th Ave Ste 220, Westminster, Colorado |
Authorized Official Name and Position | Leroy Matticks (CEO) |
Authorized Official Contact | 7205135092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind Gym Llc Po Box 21150 Boulder CO 80308-4150 Ph: (720) 290-0154 | Mind Gym Llc 2861 W 120th Ave Ste 220 Westminster CO 80234-2985 Ph: (720) 290-0154 |
NPI Number | 1043919954 |
---|---|
Provider Enumeration Date | 02/28/2023 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043919954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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