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Organization
PSYCHOTHERAPY AND CARE MANAGEMENT ON THE GO, LLC
Active
Organization
PSYCHOTHERAPY AND CARE MANAGEMENT ON THE GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN GRACE HANSEN LCSW (OWNER)
(303) 204-6635
Entity
Organization
Contact information
Practice address
12954 W ILIFF AVE, LAKEWOOD, CO 80228-4336
(303) 204-6635
(303) 504-6410
Mailing address
12954 W ILIFF AVE, LAKEWOOD, CO 80228-4336
(303) 204-6635
(303) 504-6410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
208U00000X
Clinical Pharmacology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/15/2008
Last updated
11/14/2024
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