Provider Demographics
NPI:1972266377
Name:MMHS LLC
Entity Type:Organization
Organization Name:MMHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSSAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-704-5846
Mailing Address - Street 1:15315 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-4400
Mailing Address - Country:US
Mailing Address - Phone:720-704-5846
Mailing Address - Fax:720-704-5449
Practice Address - Street 1:15315 WILLOW ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-4400
Practice Address - Country:US
Practice Address - Phone:720-704-5846
Practice Address - Fax:720-704-5449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty