Quintana-Price, Tana Victoria
Quintana-Price, Tana Victoria is an sole proprietor health care provider with primary practice located at 6949 Highway 73 County Rd Ste 5 , Evergreen CO 80439-8043. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Quintana-Price, Tana Victoria can be contacted via phone (303) 477-3522.Contact Information
Primary practice address
6949 Highway 73 County Rd Ste 5
Evergreen CO 80439-8043
Phone: (303) 477-3522
Fax: (303) 456-0607
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6181 | Colorado |
Profile Details
NPI number | 1255463006 |
---|---|
LBN Legal business name | Quintana-Price, Tana Victoria |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2007 |
Last updated | Sep 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255463006 | NPPES |
Colorado | Other | 12755697 | CAQH |
Colorado | Other | 77061 | CAQH |
Colorado | MEDICAID | 19072848 | CAQH |
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