OrganizationActive
A New Leaf Therapy, LLC
NPI 1063868263 · Psychologist · Pueblo, CO
Provider details
- NPI number
- 1063868263
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Regan Young, Owner/Psychotherapist
- License
- PSY3290 (CO)
Practice location
315 Colorado Ave
Pueblo, CO 81004-2046
Phone: (719) 948-7120
Fax: (719) 289-7144
Mailing address
315 Colorado Ave
Pueblo, CO 81004-2046
Registry dates
- Enumerated
- 2016-05-06
- Last updated
- 2016-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.