Organization
GRATEFUL WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BRANNEN LCSW (OWNER)
(970) 342-5440
Entity
Organization
Contact information
Practice address
1304 LOCH MOUNT DR, LOVELAND, CO 80537-4539
(970) 342-5440
Mailing address
1304 LOCH MOUNT DR, LOVELAND, CO 80537-4539
(970) 342-5440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/29/2022
Last updated
09/13/2022
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