Marissa Viola Smith, MA, LPC, LAC | |
11001 W 120th Ave Ste 200, Broomfield, CO 80021-3493 | |
(720) 319-7468 | |
Not Available |
Full Name | Marissa Viola Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11001 W 120th Ave Ste 200, Broomfield, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093244485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC.0014671 (Colorado) | Primary |
Entity Name | Heartwood Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962141291 PECOS PAC ID: 7214374651 Enrollment ID: O20240321001609 |
Mailing Address | Practice Location Address |
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Marissa Viola Smith, MA, LPC, LAC 11001 W 120th Ave Ste 200, Broomfield, CO 80021-3493 Ph: (720) 319-7468 | Marissa Viola Smith, MA, LPC, LAC 11001 W 120th Ave Ste 200, Broomfield, CO 80021-3493 Ph: (720) 319-7468 |
Katrina Whitehead, MA,LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1176 Opal St, Broomfield, CO 80020 Phone: 720-628-9238 | |
Melissa Rose Rank, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3303 W 144th Ave Unit 204, Broomfield, CO 80023 Phone: 720-709-2810 | |
Mrs. Shirell Renee White, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2605 W 144th Ave, Broomfield, CO 80023 Phone: 720-588-9190 | |
Kevala Kenna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17025 Melody Dr, Broomfield, CO 80023 Phone: 720-296-0257 | |
Brandi Gillen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Interlocken Blvd Ste 100, Broomfield, CO 80021 Phone: 720-773-8727 | |
Grae Ferrer Roda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Breckenridge Trl, Broomfield, CO 80020 Phone: 720-840-0191 | |
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182 |