PEAK SERENITY COUNSELING & NUTRITION LLC NPI 1457978900

NPI Information

NPI: 1457978900
Provider Name: PEAK SERENITY COUNSELING & NUTRITION LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302
Phone: (330) 703-0435
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PEAK SERENITY COUNSELING & NUTRITION LLC is a mental health counselor in Boulder, CO. PEAK SERENITY COUNSELING & NUTRITION LLC NPI is 1457978900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1942 BROADWAY STE 314C
BOULDER, CO
ZIP 80302-233
Phone: (330) 703-0435

The provider's authorized official is Crista L. Studer .
The authorized official title is Owner and has the following contact phone number (330) 703-0435.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 7/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	133V00000X	Dietitian, Registered				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437621265	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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