Provider Demographics
NPI:1316512643
Name:HORMONE HEALTH AND WELLNESS OF COLORADO LLC
Entity type:Organization
Organization Name:HORMONE HEALTH AND WELLNESS OF COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOGGANS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:970-812-5115
Mailing Address - Street 1:HORMONE HEALTH & WELLNESS OF COLORADO
Mailing Address - Street 2:1190 BOOKCLIFF AVE UNIT 202
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-812-5115
Mailing Address - Fax:970-812-5156
Practice Address - Street 1:1190 BOOKCLIFF AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8159
Practice Address - Country:US
Practice Address - Phone:970-812-5115
Practice Address - Fax:970-812-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center