| Empathic Connections Psychotherapy, Llc | |
|
1863 Sumner St Longmont CO 80501-7115 | |
| (720) 606-4794 | |
| Not Available |
| Full Name | Empathic Connections Psychotherapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1863 Sumner St, Longmont, Colorado |
| Authorized Official Name and Position | Jessica Theis (OWNER) |
| Authorized Official Contact | 7206064794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empathic Connections Psychotherapy, Llc 1863 Sumner St Longmont CO 80501-7115 Ph: (720) 606-4794 | Empathic Connections Psychotherapy, Llc 1863 Sumner St Longmont CO 80501-7115 Ph: (720) 606-4794 |
| NPI Number | 1265274070 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3870036379 |
|---|---|
| Medicare Enrollment ID | O20240625000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265274070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jessica Theis |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1982057162 PECOS PAC ID: 4789127283 Enrollment ID: I20240625000158 |
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