Identity Insights Llc | |
2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 | |
(970) 644-2392 | |
Not Available |
Full Name | Identity Insights Llc |
---|---|
Speciality | Counselor |
Location | 2470 Patterson Rd Ste 6, Grand Junction, Colorado |
Authorized Official Name and Position | Devin Pinkston (LPC / OWNER) |
Authorized Official Contact | 9706442392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Identity Insights Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: () - | Identity Insights Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: (970) 644-2392 |
NPI Number | 1093369084 |
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Provider Enumeration Date | 07/28/2019 |
Last Update Date | 07/28/2019 |
Medicare PECOS PAC ID | 5991137713 |
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Medicare Enrollment ID | O20191118000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093369084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jennifer June Crowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023445897 PECOS PAC ID: 7416206404 Enrollment ID: I20180824000554 |
Provider Name | Megan Marie Sand |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285191320 PECOS PAC ID: 5294132189 Enrollment ID: I20210920002199 |
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