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NPI Code Detail

MEDICARE: NOURISHMIND LLC

MEDICARE: NOURISHMIND 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316657000
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOURISHMIND LLC
Provider Business Mailing Address
First Line : 1801 WEWATTA ST FL 11
Second Line :
City : DENVER
State : CO
Zip : 80202-6318
Country : US
Telephone Number : 970-775-8774
Fax Number :
Provider Business Practice Location Address
First Line : 1801 WEWATTA ST FL 11
Second Line :
City : DENVER
State : CO
Zip : 80202-6318
Country : US
Telephone Number : 970-775-8774
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAUREN LAMAS
Credential : LCSW
Telephone Number : 970-775-8774
Provider Enumeration Date : 12/02/2022
Last Update Date : 12/18/2025

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Directions to “NOURISHMIND LLC ” Practice Location

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