Organization
SERENITY MOUNTAIN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WIEDENMAN LPC (OWNER)
(720) 480-0710
Entity
Organization
Contact information
Practice address
2243 MAIN AVE, DURANGO, CO 81301-4699
(720) 383-4886
Mailing address
620 SIERRA DR, DURANGO, CO 81301-8319
(720) 480-0710
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/05/2024
Last updated
12/04/2024
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