Organization
BLUME FLEUR FLOWER
Active
Other names
Melanie F. Sandoval, PhD, PMHNP-BC
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE F SANDOVAL PHD, PMHNP-BC (PRESIDENT/CLINICAL PROVIDER)
(719) 334-1201
Entity
Organization
Contact information
Practice address
503 N MAIN ST STE 530, PUEBLO, CO 81003-3179
(719) 334-1201
Mailing address
10109 PALISADE RIDGE DR, COLORADO SPRINGS, CO 80920-1492
(719) 334-1201
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251300000X
Local Education Agency (LEA)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407492929
—
CO
05
—
19223655782
—
CO
Enumeration date
01/22/2026
Last updated
01/22/2026
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