Organization
MINDFULNESS BASED INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE L MOORMAN LCSW (OWNER)
(970) 318-0529
Entity
Organization
Contact information
Practice address
380 SHERMAN ST, RIDGWAY, CO 81432
(970) 318-0529
(855) 403-3931
Mailing address
PO BOX 12, OURAY, CO 81427-0012
(970) 318-0529
(855) 403-3931
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
02/21/2022
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