| Freedomchoice Llc | |
|
6283 Lions Pt Littleton CO 80124-9527 | |
| (720) 213-5955 | |
| Not Available |
| Full Name | Freedomchoice Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6283 Lions Pt, Littleton, Colorado |
| Authorized Official Name and Position | Chan Vallon Timmons (CEO/PRESIDENT) |
| Authorized Official Contact | 3038704949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedomchoice Llc 6283 Lions Pt Littleton CO 80124-9527 Ph: (720) 213-5955 | Freedomchoice Llc 6283 Lions Pt Littleton CO 80124-9527 Ph: (720) 213-5955 |
| NPI Number | 1336633015 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/18/2018 |
| Medicare PECOS PAC ID | 8729326988 |
|---|---|
| Medicare Enrollment ID | O20190213001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336633015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Colorado) | Primary |
| Provider Name | Darlene Josette Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215227665 PECOS PAC ID: 7416174024 Enrollment ID: I20140805002169 |
| Provider Name | Lisa R Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073022240 PECOS PAC ID: 6103183009 Enrollment ID: I20171201000304 |
| Provider Name | James Baroffio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891921805 PECOS PAC ID: 6002108388 Enrollment ID: I20190219000335 |
| Provider Name | Melissa J Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861004616 PECOS PAC ID: 3375960453 Enrollment ID: I20200901003014 |
| Provider Name | Theda Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073647376 PECOS PAC ID: 4284083296 Enrollment ID: I20231214003872 |
| Provider Name | Rachel Grohs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114577087 PECOS PAC ID: 0345690913 Enrollment ID: I20231221003187 |
| Provider Name | Kathie Deschaine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891824967 PECOS PAC ID: 8224488895 Enrollment ID: I20231221003291 |
| Provider Name | Leanna Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760687891 PECOS PAC ID: 2163872771 Enrollment ID: I20231222000812 |
| Provider Name | Dominique Calloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871362475 PECOS PAC ID: 7416308234 Enrollment ID: I20240108004146 |
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