Mountain Family Living, a Prof Corp
Organization Active NPI Community/Behavioral Health Agency · Ridgway, CO
NPI 1679608137 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1679608137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LMFT193 (CO)
- Legal business name
- MOUNTAIN FAMILY LIVING, A PROF CORP
- Practice address
- 167 N Cora, Ste 2
Ridgway, CO 81432 - Phone
- (970) 626-4202
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Randolph - Stanko, LMFT
- Title
- President
- Phone
- (970) 626-4202
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LMFT193 | CO | Yes |
Addresses
Primary practice location
167 N Cora, Ste 2
Ridgway, CO 81432
Mailing address
160 N Cora, Ste 2
PO Box 698
Ridgway, CO 81432
Phone (970) 626-4202
Other providers in Ridgway, CO
- Mindfulness Based Interventions LLC
- Mindfulness Based Interventions LLC
- Mindfulness Based Interventions LLC
- Mindfulness Based Interventions LLC
- Nichole L Moorman
- Mountain Medical Center LLC
- Shirley L Olson
- Ouray County School District R-2
- Ouray Family Medicine LLC
- Halsie Peek
All providers in Ridgway, CO · Community/Behavioral Health Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.