# VISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC

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

## Provider details

- **NPI number:** 1205526308
- **Authorized official:** JENNIFER JUNE CROWE (OWNER/PROVIDER)
- **Authorized official phone:** (720) 324-7158

## Contact information

- **Practice address:** 350 TERRY ST STE 200, LONGMONT, CO 80501-5464
- **Practice address phone:** (720) 324-7158
- **Practice address fax:** (833) 547-1923
- **Mailing address:** 350 TERRY ST STE 200, LONGMONT, CO 80501-5464
- **Mailing address phone:** (720) 324-7158
- **Mailing address fax:** (833) 547-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2023
- **Last updated:** 08/10/2026