A New Leaf Therapy, PLLC

Organization Active NPI Mental Health Counselor · Pueblo, CO

NPI 1679254403 · NPPES record last updated Jul 25, 2023

Key facts

NPI
1679254403
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
A NEW LEAF THERAPY, PLLC
Practice address
315 Colorado Ave
Pueblo, CO 81004-2005
Phone
(719) 948-7120
NPI assigned
Jul 25, 2023
Organization subpart
No

Authorized official

Name
Regan Young
Title
Ceo
Phone
(719) 948-7120

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
A New Leaf Therapy LLC (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

315 Colorado Ave
Pueblo, CO 81004-2005

Mailing address

327 Colorado Ave
Pueblo, CO 81004-2005
Phone (719) 948-7120

Other providers in Pueblo, CO

All providers in Pueblo, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.