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Organization

FAMILY PEACE OF MIND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE G ELLIS PSYD (OWNER)
(303) 883-1082
Entity
Organization

Contact information

Practice address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 316-5840
(720) 362-2435
Mailing address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 316-5840
(720) 362-2435

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3619
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61452769
CO
Enumeration date
06/07/2012
Last updated
04/01/2021
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