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Organization

CULTIVATING WILDFLOWERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISHA LUCAS PHD, LPC (DIRECTOR)
(484) 888-5174
Entity
Organization

Contact information

Practice address
809 NAVAJO ST, TRINIDAD, CO 81082-2230
(484) 888-5174
Mailing address
809 NAVAJO ST, TRINIDAD, CO 81082-2230
(484) 888-5174

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/10/2024
Last updated
06/11/2026
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