Organization
LBA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BOWERS-MOULTRIE (MEMBER)
(719) 437-9835
Entity
Organization
Contact information
Practice address
405 S CASCADE AVE STE 301, COLORADO SPRINGS, CO 80903-3817
(719) 437-9835
Mailing address
607 BRYCE DR, COLORADO SPRINGS, CO 80910-3219
(719) 437-9835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
08/20/2025
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