Neurofeedback Clinic Of Northern Colorado Llc

LBN: Neurofeedback Clinic Of Northern Colorado Llc
Neurofeedback Clinic Of Northern Colorado Llc is an health care organization with primary practice located at 4115 Boardwalk Drive, Suite 100 , Fort Collins CO 80525-5945. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Neurofeedback Clinic Of Northern Colorado Llc can be contacted via phone (970) 493-4580, or through Pendleton, Lisa via phone (970) 493-4580.

Contact Information

Primary practice address
4115 Boardwalk Drive, Suite 100 Fort Collins CO 80525-5945
Phone: (970) 493-4580
Fax: (970) 797-2859
Website:
Map and Directions
Authorized official contact:
Name: Pendleton, Lisa LMFT
Phone: (970) 493-4580

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 12332 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9923938 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 974 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 983 Colorado

Profile Details

NPI number 1659794477
LBN Legal business name Neurofeedback Clinic Of Northern Colorado Llc
DBA Doing business as
Authorized official Pendleton, Lisa LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Sep 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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