Stacy Lee Shelts, | |
13402 W Coal Mine Ave, Littleton, CO 80127-5407 | |
(303) 248-7894 | |
Not Available |
Full Name | Stacy Lee Shelts |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 13402 W Coal Mine Ave, Littleton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447929179 | NPI | - | NPPES |
1326209925 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | NLC.0108525 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC.0018857 (Colorado) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
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Stacy Lee Shelts, 608 S Youngfield Ct, Lakewood, CO 80228-2811 Ph: (614) 546-6264 | Stacy Lee Shelts, 13402 W Coal Mine Ave, Littleton, CO 80127-5407 Ph: (303) 248-7894 |
Mrs. Erin Lynn Ripper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 W Davies Ave N, Littleton, CO 80120 Phone: 303-797-9420 | |
Mrs. Stephenie Combs, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 W Davies Ave N, Littleton, CO 80120 Phone: 303-797-9420 | |
Denya Wormenor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8420 S. Continental Divide Road #222, Littleton, CO 80127 Phone: 720-299-5229 | |
Amy Elizabeth Bernier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5575 S Sycamore St Ste 108, Littleton, CO 80120 Phone: 401-924-2479 | |
Ms. Cappi Morgan-black, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2329 West Main St., Suite 205, Littleton, CO 80120 Phone: 303-741-2273 Fax: 303-734-1325 | |
Judith Kay Konegni, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5500 S Sycamore St, Littleton, CO 80120 Phone: 303-524-5879 | |
Mr. Marc Alan Reeder, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5984 S Prince St, #101, Littleton, CO 80120 Phone: 303-738-1021 |