Aspenglow Therapy Company, Pllc | |
326 Main St Ste 200c Delta CO 81416-1862 | |
(502) 295-0274 | |
Not Available |
Full Name | Aspenglow Therapy Company, Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 326 Main St Ste 200c, Delta, Colorado |
Authorized Official Name and Position | Micah Brittani Massey Bair (THERAPIST) |
Authorized Official Contact | 5022950274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aspenglow Therapy Company, Pllc 860 Terrace St Delta CO 81416-6702 Ph: (502) 295-0274 | Aspenglow Therapy Company, Pllc 326 Main St Ste 200c Delta CO 81416-1862 Ph: (502) 295-0274 |
NPI Number | 1598513749 |
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Provider Enumeration Date | 05/10/2024 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598513749 | NPI | - | NPPES |
9000197747 | Medicaid | CO | |
1629651401 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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