Organization
SOLACE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KAY WURST MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(303) 325-4047
Entity
Organization
Contact information
Practice address
671 MITCHELL WAY STE 116, ERIE, CO 80516-5447
(303) 325-4047
Mailing address
173 PAINTED HORSE WAY, ERIE, CO 80516-2651
(303) 325-4047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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