| Excursion Therapy, Llc | |
|
720 N Franklin Ave Loveland CO 80537-5359 | |
| (303) 526-8342 | |
| Not Available |
| Full Name | Excursion Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 720 N Franklin Ave, Loveland, Colorado |
| Authorized Official Name and Position | Eric Nathan Smith (FOUNDER) |
| Authorized Official Contact | 3035268342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excursion Therapy, Llc 720 N Franklin Ave Loveland CO 80537-5359 Ph: (303) 526-8342 | Excursion Therapy, Llc 720 N Franklin Ave Loveland CO 80537-5359 Ph: (303) 526-8342 |
| NPI Number | 1235840596 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235840596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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