# CANOE HEALTH ALLIANCE LLC

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

## Provider details

- **NPI number:** 1336011709
- **Authorized official:** STEPHANIE A LEOPOLD APN (FOUNDER)
- **Authorized official phone:** (217) 417-5963

## Contact information

- **Practice address:** 62430 US HIGHWAY 285, BAILEY, CO 80421
- **Practice address phone:** (217) 417-5963
- **Mailing address:** 7231 TIMBER TRAIL RD, EVERGREEN, CO 80439-6696
- **Mailing address phone:** (217) 417-5963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2025
- **Last updated:** 09/23/2025