NPI 1194111500
A New Leaf Therapy, PLLC
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
Community/Behavioral Health Agency
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.