Boulder Emotional Wellness | |
3434 47th St Suite 130 Boulder CO 80301-1880 | |
(303) 225-2708 | |
Not Available |
Full Name | Boulder Emotional Wellness |
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Speciality | Community/Behavioral Health |
Location | 3434 47th St, Boulder, Colorado |
Authorized Official Name and Position | Andrew Newkirk Rose (DIRECTOR) |
Authorized Official Contact | 3032252708 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boulder Emotional Wellness 3434 47th St Suite 130 Boulder CO 80301-1880 Ph: (303) 225-2708 | Boulder Emotional Wellness 3434 47th St Suite 130 Boulder CO 80301-1880 Ph: (303) 225-2708 |
NPI Number | 1134524275 |
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Provider Enumeration Date | 10/31/2014 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 3072956887 |
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Medicare Enrollment ID | O20240208003100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134524275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 11337 (Colorado) | Primary |
Provider Name | Andrew Newkirk Rose |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053658930 PECOS PAC ID: 4981047792 Enrollment ID: I20240208003224 |
Provider Name | Yukit Tse |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346999612 PECOS PAC ID: 1850735283 Enrollment ID: I20240214000298 |
Provider Name | Erica Lynn Johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003203019 PECOS PAC ID: 3678913241 Enrollment ID: I20240430001047 |
Provider Name | Alec Farbman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417558107 PECOS PAC ID: 7517307051 Enrollment ID: I20240430003881 |
Provider Name | Elizabeth Driscoll |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508255282 PECOS PAC ID: 7214378959 Enrollment ID: I20240513003548 |
Provider Name | Alex Artio |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174121347 PECOS PAC ID: 6103267752 Enrollment ID: I20240514000810 |
Provider Name | Riese Rose |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992303911 PECOS PAC ID: 8527400613 Enrollment ID: I20240521001557 |
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