Organization
MONUMENTAL THERAPY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANI CRAWFORD (BILLING DIRECTOR)
(970) 573-7780
Entity
Organization
Contact information
Practice address
755 HIGHWAY 105 UNIT 2C, PALMER LAKE, CO 80133-9040
(719) 357-6175
Mailing address
1235 LAKE PLAZA DR STE 125, COLORADO SPRINGS, CO 80906-3581
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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