Awake Mindful Therapy | |
30922 Hilltop Dr Evergreen CO 80439-8762 | |
(970) 390-4318 | |
Not Available |
Full Name | Awake Mindful Therapy |
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Speciality | Clinic/center - Adult Mental Health |
Location | 30922 Hilltop Dr, Evergreen, Colorado |
Authorized Official Name and Position | Erik Vienneau (OFFICE MANAGER/THERAPIST) |
Authorized Official Contact | 9703904318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Awake Mindful Therapy 6429 Elaine Rd Evergreen CO 80439-7055 Ph: (970) 390-4318 | Awake Mindful Therapy 30922 Hilltop Dr Evergreen CO 80439-8762 Ph: (970) 390-4318 |
NPI Number | 1225653413 |
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Provider Enumeration Date | 06/12/2020 |
Last Update Date | 06/12/2020 |
Certification Date | 06/12/2020 |
Identifier | Type | State | Issuer |
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1225653413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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