Organization
BREAK THE MOLD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGHANNA NORDSTROM MA, LMFT (OWNER)
(970) 233-9740
Entity
Organization
Contact information
Practice address
2601 RAINTREE DR APT Z02, FORT COLLINS, CO 80526-2478
(970) 233-9740
Mailing address
2601 RAINTREE DR APT Z02, Z02, FORT COLLINS, CO 80526-2478
(970) 233-9740
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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