| Brilliantly Sane Counseling And Coaching Llc | |
|
1600 Bradley Ct Boulder CO 80305-7310 | |
| (970) 368-9185 | |
| Not Available |
| Full Name | Brilliantly Sane Counseling And Coaching Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1600 Bradley Ct, Boulder, Colorado |
| Authorized Official Name and Position | Lisa Wallace (OWNER) |
| Authorized Official Contact | 9703689185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliantly Sane Counseling And Coaching Llc Po Box 1211 Silverthorne CO 80498-1211 Ph: (970) 389-3612 | Brilliantly Sane Counseling And Coaching Llc 1600 Bradley Ct Boulder CO 80305-7310 Ph: (970) 368-9185 |
| NPI Number | 1558984005 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 06/13/2020 |
| Certification Date | 06/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558984005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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