Organization
LIFESPAN PSYCHIATRY OF COLORADO
Active
Parent organization
LIFESPAN PSYCHIATRY OF COLORADO INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN PSYCHIATRY OF COLORADO INC.
Authorized official
CARRIE SHAHBAHRAMI (PMHNP/OWNER)
(970) 579-0003
Entity
Organization
Contact information
Practice address
195 S LENA ST, RIDGWAY, CO 81432-8973
(970) 579-0003
Mailing address
2140 N 12TH ST, GRAND JUNCTION, CO 81501-2916
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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