Organization
NEURO14 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY LADIGUE PSYD (OWNER)
(315) 316-1414
Entity
Organization
Contact information
Practice address
2305 E ARAPAHOE RD STE 250, CENTENNIAL, CO 80122-1548
(315) 316-1414
(720) 844-3314
Mailing address
1075 E FREMONT CIR S, CENTENNIAL, CO 80122-1459
(720) 844-3314
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000199004
—
CO
Enumeration date
12/11/2021
Last updated
12/11/2021
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