# COLORADO CLINIC OF MENTAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1255173456
- **Authorized official:** MEGAN DEANGELIS (OWNER)
- **Authorized official phone:** (720) 955-6652

## Contact information

- **Practice address:** 19590 E MAINSTREET STE 202, PARKER, CO 80138-7371
- **Practice address phone:** (720) 955-6652
- **Mailing address:** 19590 E MAINSTREET STE 202, PARKER, CO 80138-7371
- **Mailing address phone:** (720) 955-6652
- **Mailing address fax:** (949) 703-7022

## 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:** 06/10/2024
- **Last updated:** 09/11/2024