Provider Demographics
NPI:1619851995
Name:MOUNTAINVIEW MINDCARE LLC
Entity type:Organization
Organization Name:MOUNTAINVIEW MINDCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP
Authorized Official - Phone:847-344-8126
Mailing Address - Street 1:1580 N LOGAN ST STE 660
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1994
Mailing Address - Country:US
Mailing Address - Phone:719-738-8764
Mailing Address - Fax:719-888-1922
Practice Address - Street 1:6730 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-5170
Practice Address - Country:US
Practice Address - Phone:847-344-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty