Ms Elaine Carol Blackmer, LPC | |
2465 S Downing St, Suite 110, Denver, CO 80210-5822 | |
(303) 778-5774 | |
(303) 778-2436 |
Full Name | Ms Elaine Carol Blackmer |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2465 S Downing St, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063587756 | NPI | - | NPPES |
1748 | Other | CO | LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1748 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Ms Elaine Carol Blackmer, LPC Po Box 3133, Idaho Springs, CO 80452-3133 Ph: (303) 778-5774 | Ms Elaine Carol Blackmer, LPC 2465 S Downing St, Suite 110, Denver, CO 80210-5822 Ph: (303) 778-5774 |
Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239 | |
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020 | |
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020 | |
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000 | |
Amber L Sokoll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910 | |
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858 | |
Kathryn Broyles Daigle, M.A., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Clarkson St, Denver, CO 80218 Phone: 720-340-1443 |