Organization
JOURNEYWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE DUDLEY LPC (OWNER)
(303) 478-8734
Entity
Organization
Contact information
Practice address
40495 COUNTY ROAD 13, ELIZABETH, CO 80107-8904
(303) 478-8734
Mailing address
36700 MOSSBERG CT, ELIZABETH, CO 80107-8473
(303) 478-8734
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270183553
—
CO
05
—
33000263
—
CO
Enumeration date
02/18/2021
Last updated
08/24/2021
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