| Creative Healing Center | |
|
150 E 29th St Ste 215 Loveland CO 80538-2765 | |
| (970) 342-5440 | |
| Not Available |
| Full Name | Creative Healing Center |
|---|---|
| Speciality | Social Worker |
| Location | 150 E 29th St Ste 215, Loveland, Colorado |
| Authorized Official Name and Position | Tammy Brannen (OWNER) |
| Authorized Official Contact | 9703425440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Healing Center 1304 Loch Mount Dr Loveland CO 80537-4539 Ph: () - | Creative Healing Center 150 E 29th St Ste 215 Loveland CO 80538-2765 Ph: (970) 342-5440 |
| NPI Number | 1508589250 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 03/05/2023 |
| Certification Date | 03/05/2023 |
| Medicare PECOS PAC ID | 0648647792 |
|---|---|
| Medicare Enrollment ID | O20221103000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508589250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Tammy Lorinda Brannen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619178118 PECOS PAC ID: 1254566847 Enrollment ID: I20131107001153 |
| Provider Name | Shannon L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841774502 PECOS PAC ID: 0648523548 Enrollment ID: I20181023001163 |
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