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Organization
PREMIER MENTAL HEALTH HEALING PATHWAYS
Active
Organization
PREMIER MENTAL HEALTH HEALING PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY WHITE PMHNP-BC (AUTHORIZED OFFICIAL)
(720) 525-5231
Entity
Organization
Contact information
Practice address
115 WILCOX ST STE 246, CASTLE ROCK, CO 80104-1992
(720) 525-5231
Mailing address
4044 EAGLE TAIL LN, CASTLE ROCK, CO 80104-7927
(720) 525-5231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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