Mata, Eliselda

Mata, Eliselda is an individual health care provider with primary practice located at 2204 N Emerson St , Denver CO 80205-5127. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mata, Eliselda can be contacted via phone (970) 424-4061.

Contact Information

Primary practice address
2204 N Emerson St Denver CO 80205-5127
Phone: (970) 424-4061
Fax: (872) 766-0965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15407 Colorado
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7115 Colorado

Profile Details

NPI number 1720324106
LBN Legal business name Mata, Eliselda
Credentials LPC, CAC III
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Oct 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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