Provider Demographics
NPI:1265965560
Name:NORTHERN COLORADO MENTAL HEALTH ASSOCIATES, PROF LLC
Entity type:Organization
Organization Name:NORTHERN COLORADO MENTAL HEALTH ASSOCIATES, PROF LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-218-7369
Mailing Address - Street 1:343 W DRAKE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6317
Mailing Address - Country:US
Mailing Address - Phone:970-218-7369
Mailing Address - Fax:
Practice Address - Street 1:343 W DRAKE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6317
Practice Address - Country:US
Practice Address - Phone:970-218-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty