Organization
THE DIVINE THERAPY AND WELLNESS CENTER
Active
Other names
The Divine Therapy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA V PACHECO LCSW (OWNER)
(719) 686-3029
Entity
Organization
Contact information
Practice address
5376 TOMAH DR STE 210, COLORADO SPRINGS, CO 80918-6968
(719) 766-7163
Mailing address
5376 TOMAH DR STE 210, COLORADO SPRINGS, CO 80918-6968
(719) 766-7163
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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