Organization
ROAD TO ME RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BRYDON LCSW, LAC, MAC (THERAPIST)
(720) 401-2340
Entity
Organization
Contact information
Practice address
10050 RALSTON RD # 1, ARVADA, CO 80004-4974
(720) 583-6145
Mailing address
11857 KEOUGH DR, NORTHGLENN, CO 80233-1221
(720) 401-2340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/27/2021
Last updated
11/22/2021
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