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
AMANDA STACEY BRONSON (DIR GEN MGMT)
(978) 222-3121
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
08/06/2026
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