| Balanced Mental Wellness Llc | |
|
3470 S Sherman St Ste 3 Englewood CO 80113-2663 | |
| (303) 481-3489 | |
| (720) 535-4664 |
| Full Name | Balanced Mental Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3470 S Sherman St Ste 3, Englewood, Colorado |
| Authorized Official Name and Position | Chelsie Monroe (OWNER) |
| Authorized Official Contact | 3034813489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Mental Wellness Llc 3470 S Sherman St Ste 3 Englewood CO 80113-2663 Ph: (303) 481-3489 | Balanced Mental Wellness Llc 3470 S Sherman St Ste 3 Englewood CO 80113-2663 Ph: (303) 481-3489 |
| NPI Number | 1831797844 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 1759756364 |
|---|---|
| Medicare Enrollment ID | O20230413001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831797844 | NPI | - | NPPES |
| 1104235761 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cristy L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043347057 PECOS PAC ID: 4183679137 Enrollment ID: I20050314000285 |
| Provider Name | Chelsie L Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104235761 PECOS PAC ID: 2961621628 Enrollment ID: I20140912000294 |
| Provider Name | Jacqueline Carbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386194942 PECOS PAC ID: 8426300153 Enrollment ID: I20181009000400 |
| Provider Name | Scott M. Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194338806 PECOS PAC ID: 1052713690 Enrollment ID: I20210706001576 |
| Provider Name | Amy Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389563 PECOS PAC ID: 2668837006 Enrollment ID: I20230508001612 |
| Provider Name | Suzanne Hanle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836890 PECOS PAC ID: 6002274651 Enrollment ID: I20230614002038 |
| Provider Name | Marla Katherine Pidgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598465411 PECOS PAC ID: 5799143194 Enrollment ID: I20230616000638 |
| Provider Name | Christine Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116580 PECOS PAC ID: 2062870207 Enrollment ID: I20230621001595 |
| Provider Name | Amy Halstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790357986 PECOS PAC ID: 7911366323 Enrollment ID: I20230703001854 |
| Provider Name | Bradley Tepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811675499 PECOS PAC ID: 5597129288 Enrollment ID: I20230913004264 |
| Provider Name | Haley Mildred Bomal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376302315 PECOS PAC ID: 5193162154 Enrollment ID: I20240326002257 |
| Provider Name | Karin Bustamante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952776007 PECOS PAC ID: 6103266267 Enrollment ID: I20240507000061 |
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