Provider Demographics
NPI:1225832199
Name:CHANGE YOUR MIND PSYCHIATRIC SERVICES, PLLC
Entity type:Organization
Organization Name:CHANGE YOUR MIND PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLTER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOITA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:970-903-1136
Mailing Address - Street 1:2012 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6712
Mailing Address - Country:US
Mailing Address - Phone:970-903-1136
Mailing Address - Fax:
Practice Address - Street 1:218 MUSHROOM DR
Practice Address - Street 2:
Practice Address - City:BAYFIELD
Practice Address - State:CO
Practice Address - Zip Code:81122-9718
Practice Address - Country:US
Practice Address - Phone:970-903-1136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty