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2311 S Platte River Dr Ste B Denver CO 80223-4201 | |
| (720) 779-0351 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 2311 S Platte River Dr Ste B, Denver, Colorado |
| Authorized Official Name and Position | Mallory Gollick (OWNER) |
| Authorized Official Contact | 3035208096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1100 W 38th Ave Denver CO 80211-2611 Ph: (720) 779-0351 | 2311 S Platte River Dr Ste B Denver CO 80223-4201 Ph: (720) 779-0351 |
| NPI Number | 1770043085 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 2668861436 |
|---|---|
| Medicare Enrollment ID | O20211116002858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770043085 | NPI | - | NPPES |
| 1356740922 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Belle Senese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720335706 PECOS PAC ID: 0143542993 Enrollment ID: I20141204002062 |
| Provider Name | Eve Lowinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285110411 PECOS PAC ID: 9436569118 Enrollment ID: I20201109001658 |
| Provider Name | Laura Christina Messenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437776549 PECOS PAC ID: 9830572825 Enrollment ID: I20220824002563 |
| Provider Name | Lacy Monday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518394139 PECOS PAC ID: 3779881016 Enrollment ID: I20220829000295 |
| Provider Name | Kristen Milliron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679151773 PECOS PAC ID: 1052758000 Enrollment ID: I20240326002003 |
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