OrganizationActive
A New Leaf Therapy, PLLC
NPI 1750246435 · Mental Health Counselor · Pueblo, CO
Provider details
- NPI number
- 1750246435
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lina Poulson, Hrm/Office Director(719) 948-7120
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
310 Broadway Ave
Pueblo, CO 81004-2104
Phone: (719) 948-7120
Fax: (719) 289-7144
Approximate (ZIP-level) locationGet directions
Mailing address
327 Colorado Ave
Pueblo, CO 81004-2005
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.