Provider Demographics
NPI:1972189827
Name:HOPE MOUNTAIN BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:HOPE MOUNTAIN BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-465-0900
Mailing Address - Street 1:6565 W JEWELL AVE # 4B1
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7187
Mailing Address - Country:US
Mailing Address - Phone:719-465-0900
Mailing Address - Fax:
Practice Address - Street 1:6565 W JEWELL AVE # 4B1
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7187
Practice Address - Country:US
Practice Address - Phone:719-465-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE MOUNTAIN BEHAVIORAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)