Whalio Doctors

NPI 1104306547

My Quality Life Counseling, LLC

Organisation Community/Behavioral Health Agency Monument, CO

Practice location

Address
1864 Woodmoor Dr STE 202, Monument, CO 80132-7464
Phone
(719) 695-0757
Fax
(719) 532-9576

Authorised official

Name
Lisa M. Runzo
Title
Therapist and Owner
Phone
(719) 695-0757

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence MFT.0001193 (CO)

Registry record

NPI
1104306547
Entity type
Organization
NPI issued
15 Aug 2018
Record last updated
15 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.