Organization
CULTIVATING WILDFLOWERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHA LUCAS (DIRECTOR)
(484) 888-5174
Entity
Organization
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(303) 335-0927
Mailing address
1590 EISENHOWER DR APT 208, BOULDER, CO 80303-1367
(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
07/22/2024
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