Stephanie Brooks, | |
825 Delaware Ave # 206, Longmont, CO 80501-6169 | |
(720) 526-8102 | |
Not Available |
Full Name | Stephanie Brooks |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 825 Delaware Ave # 206, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659965093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0018158 (Colorado) | Primary |
Entity Name | Mindfully Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215679485 PECOS PAC ID: 3476606252 Enrollment ID: O20230802003242 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Brooks, 825 Delaware Ave # 206, Longmont, CO 80501-6169 Ph: (720) 526-8102 | Stephanie Brooks, 825 Delaware Ave # 206, Longmont, CO 80501-6169 Ph: (720) 526-8102 |
Jenni Mcdade, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Airport Rd, Longmont, CO 80503 Phone: 303-579-8642 | |
Amanda Deckelbaum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 100 Yearparty Ct, Longmont, CO 80504 Phone: 720-449-6676 | |
Olivia Howk-pomykal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Ken Pratt Blvd Ste 140, Longmont, CO 80501 Phone: 970-281-5753 | |
Carl Baccellieri, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gay St, Longmont, CO 80501 Phone: 720-352-1178 | |
John Vandegrift, MA, CAC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 3rd Ave, Longmont, CO 80501 Phone: 970-281-7872 | |
Kirsten Megan Norr, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 County Line Rd Apt H306, Longmont, CO 80504 Phone: 917-612-9242 | |
Mary Ann Ursich, MA, LAC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 21st Ave Ste 113, Longmont, CO 80501 Phone: 303-834-9369 Fax: 303-834-9396 |