Healthcare Provider Details

I. General information

NPI: 1346967114
Provider Name (Legal Business Name): INNER STRENGTH THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN ST STE 201
GRAND JUNCTION CO
81501-2404
US

IV. Provider business mailing address

2040 SANDALWOOD CT
GRAND JUNCTION CO
81506-4835
US

V. Phone/Fax

Practice location:
  • Phone: 970-462-9581
  • Fax:
Mailing address:
  • Phone: 970-433-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA CHOUDHARY-GRIGLEY
Title or Position: THERAPIST
Credential: LPC, LAC
Phone: 970-433-1584