| Higher Ground Healing, Inc | |
|
23776 Cody Park Rd Golden CO 80401-9317 | |
| (720) 266-8265 | |
| Not Available |
| Full Name | Higher Ground Healing, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 23776 Cody Park Rd, Golden, Colorado |
| Authorized Official Name and Position | Erin Allen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7202668265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Ground Healing, Inc 23776 Cody Park Rd Golden CO 80401-9317 Ph: (720) 412-0584 | Higher Ground Healing, Inc 23776 Cody Park Rd Golden CO 80401-9317 Ph: (720) 266-8265 |
| NPI Number | 1912460312 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Medicare PECOS PAC ID | 4587036629 |
|---|---|
| Medicare Enrollment ID | O20230217001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912460312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Carolyn Marie Oldewage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346542719 PECOS PAC ID: 7517225154 Enrollment ID: I20180103000950 |
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