Provider Demographics
NPI:1679298798
Name:PLEASANT VALLEY MENTAL HEALTH
Entity type:Organization
Organization Name:PLEASANT VALLEY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HOAGLUND
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:970-367-6396
Mailing Address - Street 1:29220 RCR 14B
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-9613
Mailing Address - Country:US
Mailing Address - Phone:970-367-6396
Mailing Address - Fax:
Practice Address - Street 1:810 LINCOLN AVE STE 200
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-4972
Practice Address - Country:US
Practice Address - Phone:970-478-1181
Practice Address - Fax:970-585-7691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty