Organization
ILA HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYADEVI K SEENICHAMY LCSW (OWNER)
(720) 301-1460
Entity
Organization
Contact information
Practice address
10435 MARIGOLD CT, HIGHLANDS RANCH, CO 80126-5624
(720) 301-1460
(720) 897-2833
Mailing address
10435 MARIGOLD CT, HIGHLANDS RANCH, CO 80126-5624
(720) 301-1460
(720) 897-2833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1006
CO
Other
Enumeration date
01/25/2011
Last updated
11/04/2011
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