# LIFESPAN PSYCHIATRY OF COLORADO

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

## Provider details

- **NPI number:** 1497360838
- **Authorized official:** CARRIE SHAHBAHRAMI (OWNER)
- **Authorized official phone:** (970) 579-0003

## Contact information

- **Practice address:** 2140 N 12TH ST, GRAND JUNCTION, CO 81501-2916
- **Practice address phone:** (970) 579-0003
- **Practice address fax:** (970) 433-7671
- **Mailing address:** 2140 N 12TH ST, GRAND JUNCTION, CO 81501-2916
- **Mailing address phone:** (970) 579-0003
- **Mailing address fax:** (970) 433-7671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 09/12/2020
- **Last updated:** 10/06/2024