Organization
RADIANT MINDS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL JANE MOMMER DNP,FNP-BC, PMHNP-BC (NURSE PRACTITIONER)
(970) 481-5523
Entity
Organization
Contact information
Practice address
844 SCHRAGE WAY, LOVELAND, CO 80537-8203
(970) 481-5523
Mailing address
1151 EAGLE DR # 156, LOVELAND, CO 80537-8020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162783
—
CO
Enumeration date
02/27/2023
Last updated
03/29/2023
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