| Blue Channel Therapy | |
|
10465 Melody Dr Ste 215 Northglenn CO 80234-4125 | |
| (720) 295-7548 | |
| Not Available |
| Full Name | Blue Channel Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10465 Melody Dr Ste 215, Northglenn, Colorado |
| Authorized Official Name and Position | Vicki Sayre (BILLER) |
| Authorized Official Contact | 7209890021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Channel Therapy 5460 Ward Rd Ste 150 Arvada CO 80002-1828 Ph: (720) 795-7548 | Blue Channel Therapy 10465 Melody Dr Ste 215 Northglenn CO 80234-4125 Ph: (720) 295-7548 |
| NPI Number | 1417681222 |
|---|---|
| Provider Enumeration Date | 07/16/2022 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417681222 | NPI | - | NPPES |
| 9000190521 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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