Provider Demographics
NPI:1053150276
Name:ENCOURAGE PSYCHIATRY
Entity type:Organization
Organization Name:ENCOURAGE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILBER
Authorized Official - Middle Name:L
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:970-445-2821
Mailing Address - Street 1:PO BOX 778
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-0778
Mailing Address - Country:US
Mailing Address - Phone:970-445-2821
Mailing Address - Fax:970-343-7882
Practice Address - Street 1:82 E BEAVER CREEK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5889
Practice Address - Country:US
Practice Address - Phone:970-445-2821
Practice Address - Fax:970-343-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty