Innerchange Vive

NPI #1265891162 in Boulder, Colorado

Provider Information

NPI Number: 1265891162
Entity Type: Organization
Organization Name: Innerchange Vive
Subpart: Yes (part of a larger organization)
Parent Organization: SOLACIUM HOLDINGS, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 19, 2016
Last Updated: Jun 20, 2023

Practice Location

Address: 1150 MAXWELL AVE
Address 2: SUITE 200
City: Boulder
State: Colorado
ZIP Code: 80304-4185
Phone: (303) 449-2516

Authorized Official

Name: LAURA J BROWN
Title: VP OF REVENUE CYCLE MANAGEMENT
Phone: (661) 829-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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