GATEWAY TO SUCCESS PC NPI 1558952838

NPI Information

NPI: 1558952838
Provider Name: GATEWAY TO SUCCESS, PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2429 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005
Phone: (719) 564-5070
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GATEWAY TO SUCCESS, PC is a mental health (including community mental health center) clinic center in Pueblo, CO. GATEWAY TO SUCCESS, PC NPI is 1558952838. The provider is registered as an organization entity type.

The provider's business location address is:

2429 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005-886
Phone: (719) 564-5070
Fax: (719) 896-2874

The provider's authorized official is Karen S Morgenthaler .
The authorized official title is Executive Director and has the following contact phone number (719) 564-5070.

The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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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