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NPI Code Detail

MEDICARE: COLORADO RECOVERY TMS, LLC

MEDICARE: COLORADO RECOVERY TMS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QI0500XInfusion Therapy Clinic/Center
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1225629553
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO RECOVERY TMS, LLC
Provider Business Mailing Address
First Line : 1840 WOODMOOR DR STE 102
Second Line :
City : MONUMENT
State : CO
Zip : 80132-9083
Country : US
Telephone Number : 719-622-6522
Fax Number : 719-622-6520
Provider Business Practice Location Address
First Line : 1840 WOODMOOR DR STE 102
Second Line :
City : MONUMENT
State : CO
Zip : 80132-9083
Country : US
Telephone Number : 719-622-6522
Fax Number : 719-622-6520
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. ASHLEY BROOKE JOHNSON
Credential : DO
Telephone Number : 719-622-6522
Provider Enumeration Date : 01/29/2021
Last Update Date : 06/04/2025

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Directions to “COLORADO RECOVERY TMS, LLC ” Practice Location

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