|
| |
|
321 Roosevelt Ave Loveland CO 80537 | |
| (424) 355-3697 | |
| (970) 966-8905 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 321 Roosevelt Ave, Loveland, Colorado |
| Authorized Official Name and Position | Sandra J Brim (OWNER) |
| Authorized Official Contact | 4243553697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
321 Roosevelt Ave Loveland CO 80537 Ph: (424) 355-3697 | 321 Roosevelt Ave Loveland CO 80537 Ph: (424) 355-3697 |
| NPI Number | 1679189377 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 9032585310 |
|---|---|
| Medicare Enrollment ID | O20221012002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679189377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra Jeanne Brim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295802189 PECOS PAC ID: 5991059701 Enrollment ID: I20221012002578 |
Advanced Psychiatry Of Colorado, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3850 Grant Ave, Suite 100, Loveland, CO 80538 Phone: 970-292-5988 | |
Emotional Wellbeing Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2314 E 13th St, Loveland, CO 80537 Phone: 970-646-1404 | |
Kindhearted Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 Hoffman Dr, Loveland, CO 80538 Phone: 970-403-5463 | |
Soaring Arrow Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1762 Hoffman Dr, Loveland, CO 80538 Phone: 970-528-9171 | |
Laura Gillen Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Hahns Peak Dr Apt 201, Loveland, CO 80538 Phone: 720-295-7178 | |
Array Clinical And Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1349 Cleveland Ave, Loveland, CO 80537 Phone: 800-440-1652 Fax: 970-775-8107 |