Indepth Therapy, Llc | |
1008 Depot Hill Rd Ste 200 Broomfield CO 80020-6724 | |
(720) 232-2303 | |
(720) 358-0846 |
Full Name | Indepth Therapy, Llc |
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Speciality | Counselor |
Location | 1008 Depot Hill Rd Ste 200, Broomfield, Colorado |
Authorized Official Name and Position | Bethany Blankenheim (CO-OWNER) |
Authorized Official Contact | 7202322303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indepth Therapy, Llc 1008 Depot Hill Rd Ste 200 Broomfield CO 80020-6724 Ph: (720) 232-2303 | Indepth Therapy, Llc 1008 Depot Hill Rd Ste 200 Broomfield CO 80020-6724 Ph: (720) 232-2303 |
NPI Number | 1003275439 |
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Provider Enumeration Date | 02/12/2016 |
Last Update Date | 03/01/2019 |
Medicare PECOS PAC ID | 8426495813 |
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Medicare Enrollment ID | O20240320004079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003275439 | NPI | - | NPPES |
Provider Name | Bethany L Blankenheim |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255463386 PECOS PAC ID: 9335586726 Enrollment ID: I20240429000659 |
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