Organization
CREATING MINDFUL BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BANGERTER LPC (OWNER, THERAPIST)
(307) 321-4863
Entity
Organization
Contact information
Practice address
925 E HARMONY RD, SUITE 450, FORT COLLINS, CO 80525-4899
(970) 232-9585
Mailing address
925 E HARMONY RD, SUITE 450, FORT COLLINS, CO 80525-4899
(970) 232-9585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0011885
CO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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