Organization
ALCHEMY ARTS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BOYLAN LPC (OWNER)
(773) 251-0345
Entity
Organization
Contact information
Practice address
121 HARVARD AVE, PUEBLO, CO 81004-1223
(773) 251-0345
Mailing address
121 HARVARD AVE, PUEBLO, CO 81004-1223
(773) 251-0345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811562820
—
CO
Enumeration date
01/11/2022
Last updated
01/11/2022
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