| Autumn Sun Mental Health | |
|
4328 N County Road 19 Fort Collins CO 80524-9748 | |
| (970) 645-6228 | |
| (970) 233-9830 |
| Full Name | Autumn Sun Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4328 N County Road 19, Fort Collins, Colorado |
| Authorized Official Name and Position | Laura Turk (OWNER/PROVIDER) |
| Authorized Official Contact | 9706456228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Sun Mental Health Po Box 719 Laporte CO 80535-0719 Ph: (970) 645-6228 | Autumn Sun Mental Health 4328 N County Road 19 Fort Collins CO 80524-9748 Ph: (970) 645-6228 |
| NPI Number | 1396493367 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Medicare PECOS PAC ID | 9234511346 |
|---|---|
| Medicare Enrollment ID | O20220806000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396493367 | NPI | - | NPPES |
| Provider Name | Laura L Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871743492 PECOS PAC ID: 1456415157 Enrollment ID: I20090124000052 |
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