Organization
MOUNTAIN VISTA PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA MCCONNELL (OFFICE MANAGER)
(720) 583-9332
Entity
Organization
Contact information
Practice address
88 INVERNESS CIR E STE 103, ENGLEWOOD, CO 80112-5304
(720) 583-9332
(720) 213-4084
Mailing address
1520 FAWNWOOD RD, MONUMENT, CO 80132-9550
(720) 934-5507
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
07/26/2023
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