| Harvest Therapeutic Services Llc | |
|
1780 S Bellaire St Ste 801 Denver CO 80222-4328 | |
| (720) 653-9149 | |
| (720) 541-6641 |
| Full Name | Harvest Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1780 S Bellaire St Ste 801, Denver, Colorado |
| Authorized Official Name and Position | Kelli Henderson (OWNER) |
| Authorized Official Contact | 3039212771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Therapeutic Services Llc 1780 S Bellaire St Ste 801 Denver CO 80222-4328 Ph: (206) 539-1497 | Harvest Therapeutic Services Llc 1780 S Bellaire St Ste 801 Denver CO 80222-4328 Ph: (720) 653-9149 |
| NPI Number | 1770167470 |
|---|---|
| Provider Enumeration Date | 05/09/2021 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 9032642780 |
|---|---|
| Medicare Enrollment ID | O20241101002727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770167470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelli Henderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326426982 PECOS PAC ID: 0941733695 Enrollment ID: I20241101002816 |
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