Miranda K Botts, MA, LPC, LAC | |
515 28 3/4 Rd, Grand Junction, CO 81501-5016 | |
(970) 241-6023 | |
(970) 242-8330 |
Full Name | Miranda K Botts |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 515 28 3/4 Rd, Grand Junction, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871687491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 4787 (Colorado) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
---|---|
Miranda K Botts, MA, LPC, LAC 2820 Keystone Ct, Grand Junction, CO 81506-6011 Ph: (970) 201-8911 | Miranda K Botts, MA, LPC, LAC 515 28 3/4 Rd, Grand Junction, CO 81501-5016 Ph: (970) 241-6023 |
Lisa Marie Evanich, MA, LPC, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 28 Rd, Grand Junction, CO 81501 Phone: 970-260-3321 | |
Mac Aarron Fish, LPC Counselor Medicare: Medicare Enrolled Practice Location: 844 Grand Ave Unit B, Grand Junction, CO 81501 Phone: 970-697-7995 | |
Faye D Huelsmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539 Fax: 970-245-7493 | |
Ms. Christine Claire Coffield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 White Ave, Grand Junction, CO 81501 Phone: 970-317-5361 | |
Jennifer Vargas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1141 N 25th St Ste C, Grand Junction, CO 81501 Phone: 970-822-2644 Fax: 970-623-7673 | |
Hailey Crane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539 | |
Mrs. Teresa T. Bou-matar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 677 25 1/2 Rd, Grand Junction, CO 81505 Phone: 970-260-7017 |