Healthcare Provider Details

I. General information

NPI: 1013831437
Provider Name (Legal Business Name): PARA BELLUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 NORTH AVE STE 105
GRAND JUNCTION CO
81501-4953
US

IV. Provider business mailing address

2829 NORTH AVE STE 105
GRAND JUNCTION CO
81501-4953
US

V. Phone/Fax

Practice location:
  • Phone: 970-560-9449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LESLIE JOHN LYONS
Title or Position: OWNER
Credential: PMHNP
Phone: 970-560-9449