Empowered Minds | |
1022 Pontiac St Denver CO 80220-4830 | |
(720) 463-1339 | |
Not Available |
Full Name | Empowered Minds |
---|---|
Speciality | Social Worker |
Location | 1022 Pontiac St, Denver, Colorado |
Authorized Official Name and Position | Rachel Regina (OWNER) |
Authorized Official Contact | 6095172739 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Empowered Minds 1022 Pontiac St Denver CO 80220-4830 Ph: (720) 463-1339 | Empowered Minds 1022 Pontiac St Denver CO 80220-4830 Ph: (720) 463-1339 |
NPI Number | 1467918003 |
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Provider Enumeration Date | 02/19/2019 |
Last Update Date | 04/14/2024 |
Certification Date | 04/14/2024 |
Medicare PECOS PAC ID | 1052652682 |
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Medicare Enrollment ID | O20190409002095 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467918003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rachel Anne Regina |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013473644 PECOS PAC ID: 2961743596 Enrollment ID: I20190409002216 |
Provider Name | Annika Winter Harold |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780069211 PECOS PAC ID: 9436579208 Enrollment ID: I20201015002762 |
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