| Healthone Mental Health Therapy Center, Llc | |
|
6169 S Balsam Way Ste 380 Littleton CO 80123-3088 | |
| (615) 344-2911 | |
| Not Available |
| Full Name | Healthone Mental Health Therapy Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6169 S Balsam Way Ste 380, Littleton, Colorado |
| Authorized Official Name and Position | Max Pittard (VP) |
| Authorized Official Contact | 6153442911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Mental Health Therapy Center, Llc 6169 S Balsam Way Ste 380 Littleton CO 80123-3088 Ph: () - | Healthone Mental Health Therapy Center, Llc 6169 S Balsam Way Ste 380 Littleton CO 80123-3088 Ph: (615) 344-2911 |
| NPI Number | 1336916220 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 8628511912 |
|---|---|
| Medicare Enrollment ID | O20240614001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336916220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stacie Lyn Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861808255 PECOS PAC ID: 0941743231 Enrollment ID: I20240614001365 |
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