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Contact Information

A NEW LEAF THERAPY, LLC
315 COLORADO AVE
PUEBLO, CO81004-2046
 Phone: 719-948-7120
 Fax: 719-289-7144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for A NEW LEAF THERAPY, LLC

NPI # 1063868263
LBN Legal business name A NEW LEAF THERAPY, LLC
Authorized official REGAN YOUNG - (OWNER/PSYCHOTHERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2016
Last updated 05/06/2016 - About 10 years ago
Identifiers
CO License # PSY3290
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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