Provider Demographics
NPI:1609506252
Name:TREND MENTAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:TREND MENTAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GELDERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-614-5577
Mailing Address - Street 1:303 S BROADWAY STE 200-284
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1558
Mailing Address - Country:US
Mailing Address - Phone:970-614-5577
Mailing Address - Fax:
Practice Address - Street 1:303 S BROADWAY STE 200-284
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1558
Practice Address - Country:US
Practice Address - Phone:970-614-5577
Practice Address - Fax:949-724-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty