Organization
ANCHORED BY GRACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEANE LAZO LPC (OWNER)
(970) 310-7706
Entity
Organization
Contact information
Practice address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(970) 310-7706
Mailing address
4955 HAHNS PEAK DR APT 101, LOVELAND, CO 80538-6034
(225) 715-5952
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
09/26/2024
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