Provider Demographics
NPI:1497498547
Name:RUSHING RIVERS QUIET MIND
Entity Type:Organization
Organization Name:RUSHING RIVERS QUIET MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:979-299-2031
Mailing Address - Street 1:721 AMELIA LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2695
Mailing Address - Country:US
Mailing Address - Phone:979-299-2031
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST STE 4500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2310
Practice Address - Country:US
Practice Address - Phone:720-577-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUSHING RIVERS QUIET MIND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-17
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty