Organization
THE EMERALD COUCH LLC
Active
Organization
THE EMERALD COUCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA LYNN LEBASTCHI PSYD (OWNER AND DIRECTOR)
(720) 707-1383
Entity
Organization
Contact information
Practice address
2460 W 26TH AVE STE 465C, DENVER, CO 80211-5315
(720) 707-1383
Mailing address
2460 W 26TH AVE STE 465C, DENVER, CO 80211-5315
(720) 707-1383
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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