Tracy Gano, LCSW | |
2097 Wagon Way, Louisville, CO 80027-8513 | |
(303) 818-6649 | |
Not Available |
Full Name | Tracy Gano |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2097 Wagon Way, Louisville, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629628425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1561 (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 |
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Tracy Gano, LCSW 2097 Wagon Way, Louisville, CO 80027-8513 Ph: (303) 818-6649 | Tracy Gano, LCSW 2097 Wagon Way, Louisville, CO 80027-8513 Ph: (303) 818-6649 |
Mr. Michael Jon Altman, LPC, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 844 Main St, Louisville, CO 80027 Phone: 720-480-2429 Fax: 303-665-4229 | |
Joseph Holub, CAS, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 W Dillon Rd Apt H101, Louisville, CO 80027 Phone: 720-808-2150 | |
Ashley Tipton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 S Tyler Ave, Louisville, CO 80027 Phone: 901-828-3689 | |
Jeanne Beth White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2255 S 88th St, Louisville, CO 80027 Phone: 303-666-2000 | |
Devanand Heins, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Pheasant Run, Louisville, CO 80027 Phone: 303-775-9358 | |
Jodi Menaker, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 S Boulder Rd, Suite G, Louisville, CO 80027 Phone: 303-919-7044 | |
Rhonda L. Robinson, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1314 Main St, Suite 200, Louisville, CO 80027 Phone: 720-272-5397 |