| In The Shelter Llc | |
|
7505 Village Square Dr Ste 207 Castle Pines CO 80108-3693 | |
| (303) 903-1124 | |
| Not Available |
| Full Name | In The Shelter Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7505 Village Square Dr Ste 207, Castle Pines, Colorado |
| Authorized Official Name and Position | Dale Carl Fredrickson (CEO) |
| Authorized Official Contact | 3033234722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In The Shelter Llc 8919 Bermuda Run Cir Highlands Ranch CO 80130-3309 Ph: (303) 335-5709 | In The Shelter Llc 7505 Village Square Dr Ste 207 Castle Pines CO 80108-3693 Ph: (303) 903-1124 |
| NPI Number | 1871181586 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871181586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Stephanie Bartlett Lpc, Lmf, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Village Square Dr Ste 201, Castle Pines, CO 80108 Phone: 720-360-7972 |