| Ardor Odyssey Llc | |
|
80 Garden Ctr Ste 40 Broomfield CO 80020-1777 | |
| (303) 335-0151 | |
| Not Available |
| Full Name | Ardor Odyssey Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 80 Garden Ctr Ste 40, Broomfield, Colorado |
| Authorized Official Name and Position | Melinda Bergeman (OWNER) |
| Authorized Official Contact | 3033350151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardor Odyssey Llc Po Box 24559 Denver CO 80224-0559 Ph: () - | Ardor Odyssey Llc 80 Garden Ctr Ste 40 Broomfield CO 80020-1777 Ph: (303) 335-0151 |
| NPI Number | 1023741691 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023741691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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