Organization
AWAKE MINDFUL THERAPY
Active
Other names
AWAKE Mindful Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK VIENNEAU MA (OFFICE MANAGER/THERAPIST)
(970) 390-4318
Entity
Organization
Contact information
Practice address
30922 HILLTOP DR, EVERGREEN, CO 80439-8762
(970) 390-4318
Mailing address
6429 ELAINE RD, EVERGREEN, CO 80439-7055
(970) 390-4318
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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