# PONDEROSA COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043737315
- **Authorized official:** MS. LAURIE LEE REEDER NP (NURSE PRACTITIONER)
- **Authorized official phone:** (720) 951-1476

## Contact information

- **Practice address:** 19753 E PIKES PEAK AVE, SUITE 202, PARKER, CO 80138
- **Practice address phone:** (720) 542-3487
- **Practice address fax:** (720) 542-3566
- **Mailing address:** 19753 E PIKES PEAK AVE STE 202, PARKER, CO 80138-7435
- **Mailing address phone:** (720) 542-3487
- **Mailing address fax:** (720) 542-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0004453-NP | CO | Yes |

## Other

- **Enumeration date:** 08/27/2017
- **Last updated:** 07/21/2022