| A Peaceful Mind Llc | |
|
420 S Howes St Ste B-100 Fort Collins CO 80521-2871 | |
| (303) 525-8331 | |
| Not Available |
| Full Name | A Peaceful Mind Llc |
|---|---|
| Speciality | Social Worker |
| Location | 420 S Howes St Ste B-100, Fort Collins, Colorado |
| Authorized Official Name and Position | Nichole Laliberte (OWNER) |
| Authorized Official Contact | 3035258331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Peaceful Mind Llc Po Box 1806 Fort Collins CO 80522-1806 Ph: (303) 525-8331 | A Peaceful Mind Llc 420 S Howes St Ste B-100 Fort Collins CO 80521-2871 Ph: (303) 525-8331 |
| NPI Number | 1326647389 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Medicare PECOS PAC ID | 2365855467 |
|---|---|
| Medicare Enrollment ID | O20210111000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326647389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nichole Marie Laliberte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528186202 PECOS PAC ID: 0648490664 Enrollment ID: I20150106002018 |
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