Organization
CARE OF THE MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZA PEREZ FRIAS PMHNP-BC (PSYCHIATRIC MENTAL HEALTH NP)
(970) 302-1746
Entity
Organization
Contact information
Practice address
2601 S LEMAY AVE STE 7134, FORT COLLINS, CO 80525-2295
(970) 302-1746
Mailing address
2601 S LEMAY AVE STE 7134, FORT COLLINS, CO 80525-2295
(970) 302-1746
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0993018-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153897
—
CO
Enumeration date
10/18/2017
Last updated
12/07/2017
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