# MARISOL HEALTH INC. LLC

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

## Provider details

- **NPI number:** 1639850894
- **Authorized official:** JANICE MCINTOSH LCSW (VICE PRESIDENT)
- **Authorized official phone:** (720) 799-9247

## Contact information

- **Practice address:** 1221 W ELIZABETH ST, FORT COLLINS, CO 80521-4508
- **Practice address phone:** (303) 731-6130
- **Mailing address:** 6240 SMITH RD, DENVER, CO 80216-4632
- **Mailing address phone:** (720) 799-9247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 08/29/2023