| Breathe Counseling Llc | |
|
4689 W 20th St Unit E Greeley CO 80634-3218 | |
| (970) 381-2164 | |
| Not Available |
| Full Name | Breathe Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 4689 W 20th St Unit E, Greeley, Colorado |
| Authorized Official Name and Position | Ryan Andrew Smith (OWNER) |
| Authorized Official Contact | 9705185266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Counseling Llc 3513 38th Ave Evans CO 80620-9107 Ph: (970) 518-5266 | Breathe Counseling Llc 4689 W 20th St Unit E Greeley CO 80634-3218 Ph: (970) 381-2164 |
| NPI Number | 1114698636 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 7315384526 |
|---|---|
| Medicare Enrollment ID | O20240325000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114698636 | NPI | - | NPPES |
| 9000207559 | Medicaid | CO |
| Provider Name | Ryan A Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912374844 PECOS PAC ID: 7810331139 Enrollment ID: I20240214003502 |
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