| Emily Berg Llc | |
|
420 S Howes St # A203 Fort Collins CO 80521-2871 | |
| (970) 660-9501 | |
| Not Available |
| Full Name | Emily Berg Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 420 S Howes St # A203, Fort Collins, Colorado |
| Authorized Official Name and Position | Emily Berg (OWNER) |
| Authorized Official Contact | 9706609501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Berg Llc 420 S Howes St # A203 Fort Collins CO 80521-2871 Ph: (970) 660-9501 | Emily Berg Llc 420 S Howes St # A203 Fort Collins CO 80521-2871 Ph: (970) 660-9501 |
| NPI Number | 1265268445 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265268445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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