Provider Demographics
NPI:1053110197
Name:ONE MIND AND BODY PSYCHIATRY
Entity type:Organization
Organization Name:ONE MIND AND BODY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BREANA
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:APN, RXN, PMHNP-BC
Authorized Official - Phone:303-356-9576
Mailing Address - Street 1:4688 HYLAND GREENS PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2537
Mailing Address - Country:US
Mailing Address - Phone:303-356-9576
Mailing Address - Fax:
Practice Address - Street 1:414 N BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3490
Practice Address - Country:US
Practice Address - Phone:720-613-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty