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Organization
AMAVI INTEGRATIVE MENTAL WELLNESS LLC
Active
Organization
AMAVI INTEGRATIVE MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT S GOOD (OWNER OF ENTITY)
(303) 652-4196
Entity
Organization
Contact information
Practice address
6897 PAIUTE AVE STE 5, NIWOT, CO 80503-7169
(303) 960-2269
(877) 839-3864
Mailing address
6897 PAIUTE AVE STE 5, NIWOT, CO 80503-7169
(303) 652-4196
(303) 652-4007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
10/30/2025
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