Organization
COLORADO COUPLES CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TSIATSOS PHILLIPS MA, LPC, NCC, ACS (PRESIDENT)
(303) 956-7622
Entity
Organization
Contact information
Practice address
950 WADSWORTH BLVD STE 308, LAKEWOOD, CO 80214-4542
(303) 956-7622
Mailing address
950 WADSWORTH BLVD STE 308, LAKEWOOD, CO 80214-4542
(303) 956-7622
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
11335
CO
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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