Tackney-Moen, Mimzy

Tackney-Moen, Mimzy is an sole proprietor health care provider with primary practice located at 8000 E Prentice Ave Ste D12 , Greenwood Village CO 80111-2759. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tackney-Moen, Mimzy can be contacted via phone (303) 637-2526.

Contact Information

Primary practice address
8000 E Prentice Ave Ste D12 Greenwood Village CO 80111-2759
Phone: (303) 637-2526
Fax: (303) 779-7982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 985042 Colorado

Profile Details

NPI number 1275690612
LBN Legal business name Tackney-Moen, Mimzy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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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