Whalio Doctors

NPI 1194111500

A New Leaf Therapy, PLLC

Organisation Community/Behavioral Health Agency Pueblo, CO

Practice location

Address
327 Colorado Ave, Pueblo, CO 81004
Phone
(719) 948-7120
Fax
(719) 289-7144
Mailing address
6192 Muddy Creek Rd, Pueblo, CO 81004-9747

Authorised official

Name
Regan Young
Title
Owner/Psychotherapist
Phone
(719) 948-7120

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1759 (CO)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 6858 (CO)

Registry record

NPI
1194111500
Entity type
Organization
NPI issued
13 Apr 2015
Record last updated
18 Jul 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.