Organization
MENDING HEARTS FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMINA BLASKO (OWNER)
(719) 650-3921
Entity
Organization
Contact information
Practice address
108 E CHEYENNE RD, SUITE 207, COLORADO SPRINGS, CO 80906-2504
(719) 650-3921
Mailing address
6309 TENDERFOOT DR, COLORADO SPRINGS, CO 80923-7401
(719) 650-3921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCC.0013421
CO
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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