Provider Demographics
NPI:1326919382
Name:VILLAGE MENTAL HEALTH CENTER
Entity type:Organization
Organization Name:VILLAGE MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MESICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:309-269-0777
Mailing Address - Street 1:6028 ASHMORE LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-9672
Mailing Address - Country:US
Mailing Address - Phone:309-269-0777
Mailing Address - Fax:
Practice Address - Street 1:6028 ASHMORE LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80927-9672
Practice Address - Country:US
Practice Address - Phone:309-269-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)