| Hope Roots | |
|
2120 S College Ave Ste 7 Fort Collins CO 80525-1465 | |
| (970) 412-2905 | |
| Not Available |
| Full Name | Hope Roots |
|---|---|
| Speciality | Counselor |
| Location | 2120 S College Ave Ste 7, Fort Collins, Colorado |
| Authorized Official Name and Position | Sarah A Joseph (DIRECTOR) |
| Authorized Official Contact | 9704122905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Roots 2120 S College Ave Ste 7 Fort Collins CO 80525-1465 Ph: () - | Hope Roots 2120 S College Ave Ste 7 Fort Collins CO 80525-1465 Ph: (970) 412-2905 |
| NPI Number | 1922689108 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 7719326412 |
|---|---|
| Medicare Enrollment ID | O20240415001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922689108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Sarah A Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386350890 PECOS PAC ID: 8527407220 Enrollment ID: I20240415001652 |
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