| Heartland Wellness Llc | |
|
7596 W Jewell Ave Ste 303 Lakewood CO 80232-6839 | |
| (303) 325-5617 | |
| (720) 368-5157 |
| Full Name | Heartland Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 7596 W Jewell Ave Ste 303, Lakewood, Colorado |
| Authorized Official Name and Position | Sujatha Reddy (OWNER) |
| Authorized Official Contact | 6149374365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Wellness Llc 1019 S Alkire St Lakewood CO 80228-3111 Ph: (303) 325-5617 | Heartland Wellness Llc 7596 W Jewell Ave Ste 303 Lakewood CO 80232-6839 Ph: (303) 325-5617 |
| NPI Number | 1215399548 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1254782865 |
|---|---|
| Medicare Enrollment ID | O20240109000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215399548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0012340 (Colorado) | Primary |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487834347 PECOS PAC ID: 2163873779 Enrollment ID: I20240109000187 |
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