Provider Demographics
NPI:1316555386
Name:COMFORT OF YOUR HOME PSYCHIATRY
Entity type:Organization
Organization Name:COMFORT OF YOUR HOME PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PNHNP
Authorized Official - Phone:720-669-6402
Mailing Address - Street 1:PO BOX 1917
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-1917
Mailing Address - Country:US
Mailing Address - Phone:720-669-6402
Mailing Address - Fax:303-979-9122
Practice Address - Street 1:175 HURD LANE
Practice Address - Street 2:UNIT 3212
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:720-669-6402
Practice Address - Fax:303-979-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty