SearchColorado101YA0400X

Elissa Mendieta, LAC

NPI 1225884125 · on the registry since 2024 · sole proprietor

Practice

Address
443 Highway 105
Palmer Lake, CO 80133
Phone
(719) 955-1800
Organisation at this address
Recovery Village At Palmer Lake, Llc
Recovery Village At Palmer Lake, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 1610 Gatehouse Cir N Apt 103, Colorado Springs, CO

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado