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Organization

SPARKWELL MENTAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA CALLAN (OWNER)
(901) 828-9799
Entity
Organization

Contact information

Practice address
911 MCINTIRE ST, BOULDER, CO 80303-2724
(901) 828-9799
Mailing address
2525 ARAPAHOE AVE UNIT E4, BOULDER, CO 80302-6746
(720) 571-9699

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/04/2023
Last updated
05/11/2026
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