| Grand Valley Integrative Counseling, Pllc. | |
|
71 Bryan Loop Parachute CO 81635-7708 | |
| (970) 414-0801 | |
| Not Available |
| Full Name | Grand Valley Integrative Counseling, Pllc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 71 Bryan Loop, Parachute, Colorado |
| Authorized Official Name and Position | Tiffany Smith (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9704140801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Valley Integrative Counseling, Pllc. 71 Bryan Loop Parachute CO 81635-7708 Ph: (970) 414-0801 | Grand Valley Integrative Counseling, Pllc. 71 Bryan Loop Parachute CO 81635-7708 Ph: (970) 414-0801 |
| NPI Number | 1174381875 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 4486091170 |
|---|---|
| Medicare Enrollment ID | O20240318000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174381875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tiffany Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750737235 PECOS PAC ID: 0547610487 Enrollment ID: I20240301001513 |
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