| Heartwood Counseling Services, Llc | |
|
11001 W 120th Ave Ste 200 Broomfield CO 80021-3493 | |
| (720) 319-7468 | |
| Not Available |
| Full Name | Heartwood Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 11001 W 120th Ave Ste 200, Broomfield, Colorado |
| Authorized Official Name and Position | Marissa Viola Smith (OWNER) |
| Authorized Official Contact | 7203197468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwood Counseling Services, Llc 5355 Territorial St Parker CO 80134-2747 Ph: (720) 319-7468 | Heartwood Counseling Services, Llc 11001 W 120th Ave Ste 200 Broomfield CO 80021-3493 Ph: (720) 319-7468 |
| NPI Number | 1962141291 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 7214374651 |
|---|---|
| Medicare Enrollment ID | O20240321001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962141291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marissa Viola Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093244485 PECOS PAC ID: 8123465564 Enrollment ID: I20240416001067 |
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