# SUNFLOWER MOUNTAIN MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1336957901
- **Authorized official:** MATTHEW BLUBAUGH (OFFICE MANAGER)
- **Authorized official phone:** (719) 679-5022

## Contact information

- **Practice address:** 805 EAGLERIDGE BLVD, STE 140, PUEBLO, CO 81008-2354
- **Practice address phone:** (719) 679-5022
- **Practice address fax:** (719) 888-1673
- **Mailing address:** 805 EAGLERIDGE BLVD, STE 140, PUEBLO, CO 81008-2354
- **Mailing address phone:** (719) 679-5022
- **Mailing address fax:** (719) 888-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2024
- **Last updated:** 10/03/2025