Provider Demographics
NPI:1740037498
Name:MYNDFULL CARE MANAGEMENT COLORADO PC
Entity type:Organization
Organization Name:MYNDFULL CARE MANAGEMENT COLORADO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-839-8878
Mailing Address - Street 1:9436 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 5 PMB 1113
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8340
Mailing Address - Country:US
Mailing Address - Phone:855-839-8878
Mailing Address - Fax:
Practice Address - Street 1:100 FILLMORE STREET 5TH FLOOR
Practice Address - Street 2:OFFICE 522
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:855-839-8878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty