Advanced Trauma Recovery LLC
Organization Active NPI Clinical Psychologist · Castle Rock, CO
NPI 1285190751 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1285190751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ADVANCED TRAUMA RECOVERY LLC
- Practice address
- 755 Maleta LN Ste 202
Castle Rock, CO 80108-7611 - Phone
- (949) 233-5358
- NPI assigned
- Feb 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Mercedes Lavoy
- Title
- Clinical Psychologist
- Phone
- (949) 233-5358
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
755 Maleta LN Ste 202
Castle Rock, CO 80108-7611
Mailing address
755 Maleta LN Ste 202
Castle Rock, CO 80108-7611
Phone (949) 233-5358
Other providers in Castle Rock, CO
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- Adventhealth Primary Care RMR
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All providers in Castle Rock, CO · Clinical Psychologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.