NPI: 1407377245
Provider Name: LISA L. MIKESELL LLC
Doing Business As: JOURNEY COUNSELING CENTER, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
Address:
1801 SUNSET PL STE A
LONGMONT, CO
ZIP 80501
Phone: (303) 776-1117
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LISA L. MIKESELL LLC is an adult mental health clinic center in Longmont, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LISA L. MIKESELL LLC NPI is 1407377245. The provider is registered as an organization entity type.
The provider Is Doing Business As Journey Counseling Center, Llc.
The provider's business location address is:
1801 SUNSET PL STE A
LONGMONT, CO
ZIP 80501-575
Phone: (303) 776-1117
Fax: (303) 485-2323
The provider's authorized official is Lisa Lee Mikesell .
The authorized official title is Psychotherapist and has the following contact phone number (303) 776-1117.
The enumeration date for this NPI number is 7/2/2017 and was last updated on 7/2/2017.