Villa, Gladys

Villa, Gladys is an individual health care provider with primary practice located at 31481 Upper Bear Creek Rd , Evergreen CO 80439-7818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Villa, Gladys can be contacted via phone (559) 307-1800.

Contact Information

Primary practice address
31481 Upper Bear Creek Rd Evergreen CO 80439-7818
Phone: (559) 307-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09924043 Colorado

Profile Details

NPI number 1063802692
LBN Legal business name Villa, Gladys
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2015
Last updated Oct 18th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063802692 NPPES
Colorado MEDICAID 97720062

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