A New Leaf Therapy, LLC

NPI #1063868263 in Pueblo, Colorado

Provider Information

NPI Number: 1063868263
Entity Type: Organization
Organization Name: A New Leaf Therapy, LLC
Primary Specialty: Psychologist
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 315 COLORADO AVE
City: Pueblo
State: Colorado
ZIP Code: 81004-2046
Phone: (719) 948-7120

Authorized Official

Name: REGAN YOUNG, LCSW, CACIII
Title: OWNER/PSYCHOTHERAPIST
Phone: (719) 948-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Psychologist	103T00000X	Primary

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