Organization
LIFESPAN PSYCHIATRY OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE SHAHBAHRAMI (OWNER)
(970) 579-0003
Entity
Organization
Contact information
Practice address
637 NORTH AVE, GRAND JUNCTION, CO 81501-7513
(970) 579-0003
(970) 433-7671
Mailing address
2140 N 12TH ST, GRAND JUNCTION, CO 81501-2916
(970) 579-0003
(970) 433-7671
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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