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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