| Fortitude Counseling Llc | |
|
80 Garden Ctr Ste 40 Broomfield CO 80020-1777 | |
| (720) 772-9871 | |
| Not Available |
| Full Name | Fortitude Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 80 Garden Ctr Ste 40, Broomfield, Colorado |
| Authorized Official Name and Position | Mary Claire Elliott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7207729871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Counseling Llc 80 Garden Ctr Ste 40 Broomfield CO 80020-1777 Ph: (720) 772-9871 | Fortitude Counseling Llc 80 Garden Ctr Ste 40 Broomfield CO 80020-1777 Ph: (720) 772-9871 |
| NPI Number | 1730840844 |
|---|---|
| Provider Enumeration Date | 01/02/2022 |
| Last Update Date | 02/05/2022 |
| Certification Date | 02/05/2022 |
| Medicare PECOS PAC ID | 7517310436 |
|---|---|
| Medicare Enrollment ID | O20240126003751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730840844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mary Claire Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699329045 PECOS PAC ID: 8426401340 Enrollment ID: I20240126003809 |
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