| Colorado Brain Injury Therapy, Llc | |
|
14397 W Bayaud Ave Golden CO 80401-5303 | |
| (303) 868-6430 | |
| Not Available |
| Full Name | Colorado Brain Injury Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14397 W Bayaud Ave, Golden, Colorado |
| Authorized Official Name and Position | Lucia Valdeez (CEO) |
| Authorized Official Contact | 3038686263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Brain Injury Therapy, Llc 14397 W Bayaud Ave Golden CO 80401-5303 Ph: (303) 868-6430 | Colorado Brain Injury Therapy, Llc 14397 W Bayaud Ave Golden CO 80401-5303 Ph: (303) 868-6430 |
| NPI Number | 1881310928 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 7719354141 |
|---|---|
| Medicare Enrollment ID | O20221027002271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881310928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lucia Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699495283 PECOS PAC ID: 5698164598 Enrollment ID: I20220922003186 |
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