| Front Range Family Resource Center Llc | |
|
5181 Ward Rd Unit 206 Wheat Ridge CO 80033-1925 | |
| (720) 724-6813 | |
| (720) 828-6114 |
| Full Name | Front Range Family Resource Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 5181 Ward Rd Unit 206, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Jeremy R Allen (OWNER) |
| Authorized Official Contact | 7207246813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Family Resource Center Llc 5181 Ward Rd Unit 206 Wheat Ridge CO 80033-1925 Ph: (720) 724-6813 | Front Range Family Resource Center Llc 5181 Ward Rd Unit 206 Wheat Ridge CO 80033-1925 Ph: (720) 724-6813 |
| NPI Number | 1528586120 |
|---|---|
| Provider Enumeration Date | 09/03/2017 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 4486092400 |
|---|---|
| Medicare Enrollment ID | O20240409004057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528586120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jeremy Robert Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558768747 PECOS PAC ID: 5395183313 Enrollment ID: I20240409004131 |
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