| Healingthebeing | |
|
328 Massachusetts Ave. Berthoud CO 80513-8051 | |
| (303) 847-9683 | |
| Not Available |
| Full Name | Healingthebeing |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 328 Massachusetts Ave., Berthoud, Colorado |
| Authorized Official Name and Position | Edeltraud Archinger (OWNER) |
| Authorized Official Contact | 3038479683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healingthebeing Po Box 1273 Berthoud CO 80513-2273 Ph: (303) 847-9683 | Healingthebeing 328 Massachusetts Ave. Berthoud CO 80513-8051 Ph: (303) 847-9683 |
| NPI Number | 1760968457 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/16/2018 |
| Medicare PECOS PAC ID | 6901153170 |
|---|---|
| Medicare Enrollment ID | O20180718003274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760968457 | NPI | - | NPPES |
| 01873571 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW.09924176 (Colorado) | Primary |
| Provider Name | Edeltraud Archinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750700985 PECOS PAC ID: 2567719735 Enrollment ID: I20180723002332 |
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