| Hope Haven Therapy Pllc | |
|
2118 Chatalet Ln Pueblo CO 81005-4625 | |
| (888) 948-6789 | |
| (877) 345-3501 |
| Full Name | Hope Haven Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2118 Chatalet Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Roberta L Salazar (OWNER) |
| Authorized Official Contact | 7192428758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Haven Therapy Pllc 1 Kalisa Way Ste 101 Paramus NJ 07652-3508 Ph: (888) 948-6789 | Hope Haven Therapy Pllc 2118 Chatalet Ln Pueblo CO 81005-4625 Ph: (888) 948-6789 |
| NPI Number | 1679143184 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 5294138269 |
|---|---|
| Medicare Enrollment ID | O20210728002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679143184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roberta L Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700268075 PECOS PAC ID: 2365852688 Enrollment ID: I20201027002833 |
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