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Organization
MIND BODY SPORT, LLC
Active
Organization
MIND BODY SPORT, LLC
Active
Other names
Denver Mental Health Collective
Organization subpart
No
Provider details
NPI number
Authorized official
IAN J PALOMBO LPC (PRESIDENT)
(720) 863-6100
Entity
Organization
Contact information
Practice address
2121 S ONEIDA ST STE 600, DENVER, CO 80224-2555
(720) 863-6100
Mailing address
2121 S ONEIDA ST STE 600, DENVER, CO 80224-2555
(720) 863-6100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000172843
—
CO
Enumeration date
09/05/2017
Last updated
04/20/2021
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