| |
5460 Ward Rd Ste 380 Arvada CO 80002-1818 | |
(303) 917-9684 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 5460 Ward Rd Ste 380, Arvada, Colorado |
Authorized Official Name and Position | Allison Harvey (OWNER / CLINICAL DIRECTOR) |
Authorized Official Contact | 3039179684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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150 Coyote Ct Livermore CO 80536-7719 Ph: (303) 917-9684 | 5460 Ward Rd Ste 380 Arvada CO 80002-1818 Ph: (303) 917-9684 |
NPI Number | 1659930949 |
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Provider Enumeration Date | 06/10/2019 |
Last Update Date | 06/18/2024 |
Certification Date | 06/18/2024 |
Medicare PECOS PAC ID | 0244774701 |
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Medicare Enrollment ID | O20240626001455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659930949 | NPI | - | NPPES |
1982171229 | Medicaid | CO |
Provider Name | Allison L Harvey |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982171229 PECOS PAC ID: 2062956527 Enrollment ID: I20240626002031 |
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