Organization
ANIVANA THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE JACQUELYN RAINVILLE MA (THERAPIST)
(719) 315-0728
Entity
Organization
Contact information
Practice address
4390 N ACADEMY BLVD STE 101B, COLORADO SPRINGS, CO 80918-6626
(719) 315-0728
Mailing address
4370 E PIKES PEAK AVE APT 217, COLORADO SPRINGS, CO 80909-6771
(949) 370-0383
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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