Organization · Type 2 NPI

Brad's House Mesa Ridge LLC

Mental Health Counselor · Colorado Springs, CO

NPI number 1316735855 Active

Practice location

646 Dexter St
Colorado Springs, CO 80911-2542

Call (719) 641-7051 Map

Mailing address

14960 Woodcarver Rd
Colorado Springs, CO 80921-2370

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Management Agency 251B00000XNone listed

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About NPI 1316735855

Brad's House Mesa Ridge LLC's National Provider Identifier is 1316735855, issued on Apr 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 25, 2025.