| Behavioral Health And Trauma Recovery Services Pc | |
|
115 Wilcox St Ste 240 Castle Rock CO 80104-2064 | |
| (303) 945-3775 | |
| (303) 985-5236 |
| Full Name | Behavioral Health And Trauma Recovery Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 115 Wilcox St Ste 240, Castle Rock, Colorado |
| Authorized Official Name and Position | Denise L Lucia (OWNER/PRESIDENT) |
| Authorized Official Contact | 3039453775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health And Trauma Recovery Services Pc 115 Wilcox St Ste 240 Castle Rock CO 80104-1992 Ph: (303) 945-3775 | Behavioral Health And Trauma Recovery Services Pc 115 Wilcox St Ste 240 Castle Rock CO 80104-2064 Ph: (303) 945-3775 |
| NPI Number | 1225653355 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 1254770464 |
|---|---|
| Medicare Enrollment ID | O20240422001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225653355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Hoeffner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659867836 PECOS PAC ID: 5496194607 Enrollment ID: I20240422000991 |
| Provider Name | Waymon Eugene Stallcup |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841981198 PECOS PAC ID: 1456790567 Enrollment ID: I20240422001533 |
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