Organization
ADVANCED PSYCHIATRIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDI SHAE PROCHODA DNP, FNP, FPMHNP (OWNER, PROVIDER)
(719) 444-0250
Entity
Organization
Contact information
Practice address
2790 N ACADEMY BLVD, SUITE 312, COLORADO SPRINGS, CO 80917-5337
(719) 444-0250
(719) 444-0253
Mailing address
2790 N ACADEMY BLVD, SUITE 312, COLORADO SPRINGS, CO 80917-5337
(719) 444-0250
(719) 444-0253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12080466
CAQH
—
05
—
21102384
—
CO
05
—
38303787
—
CO
Enumeration date
04/06/2012
Last updated
03/07/2023
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