Organization
A NEW LEAF THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA NEW LEAF POULSON (OFFICE DIRECTOR, HRM)
(719) 948-7120
Entity
Organization
Contact information
Practice address
330 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 948-7120
Mailing address
327 COLORADO AVE, PUEBLO, CO 81004-2005
(719) 948-7120
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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