Animal Assisted Therapy Of The Western Slope | |
640 Grand Ave Grand Junction CO 81501-2738 | |
(970) 201-8180 | |
Not Available |
Full Name | Animal Assisted Therapy Of The Western Slope |
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Speciality | Social Worker |
Location | 640 Grand Ave, Grand Junction, Colorado |
Authorized Official Name and Position | Stacy L Mendell (OWNER) |
Authorized Official Contact | 9702018180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Animal Assisted Therapy Of The Western Slope 1319 Ouray Ave Grand Junction CO 81501-4457 Ph: (970) 201-8180 | Animal Assisted Therapy Of The Western Slope 640 Grand Ave Grand Junction CO 81501-2738 Ph: (970) 201-8180 |
NPI Number | 1982249686 |
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Provider Enumeration Date | 11/17/2019 |
Last Update Date | 04/16/2021 |
Certification Date | 04/16/2021 |
Medicare PECOS PAC ID | 9032546833 |
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Medicare Enrollment ID | O20200217000661 |
Identifier | Type | State | Issuer |
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1982249686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Stacy L Schoolfield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295168953 PECOS PAC ID: 6406178490 Enrollment ID: I20141202001217 |
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