Organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Active
Other names
Heron Ridge Associates of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON (CEO)
(704) 506-6267
Entity
Organization
Contact information
Practice address
705 S MAIN ST STE 280, PLYMOUTH, MI 48170-1060
(734) 454-3560
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(248) 594-4991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
03/24/2025
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