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Organization
MO SMILES LLC
Active
Organization
MO SMILES LLC
Active
Other names
Balanced Mind Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TERRY CANDELAS (OFFICE MANAGER)
(303) 582-4157
Entity
Organization
Contact information
Practice address
7200 W BELL RD STE E102, GLENDALE, AZ 85308-8534
(623) 934-9191
(303) 265-9247
Mailing address
8461 TURNPIKE DR STE 203, WESTMINSTER, CO 80031-4379
(720) 627-7734
(303) 265-9247
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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