Organization Name: | CARITAS PSYCHOTHERAPY & CONSULTATION, LLC |
NPI Number: | 1043407018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTINE REIMER (NURSE PRACTITIONER) |
Mailing Address: | 1548 G St Suite 2a Salida |
State: | CO US |
Postal Code: | 812012645 |
Phone Number: | 7195301256 |
Fax Number: | 7195396038 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | CO 1119947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |