| Inner Path Therapy Pllc | |
|
1942 Broadway Ste 314c Boulder CO 80302-5233 | |
| (720) 213-8717 | |
| Not Available |
| Full Name | Inner Path Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Authorized Official Name and Position | Carolina Santos Bracco (THERAPIST) |
| Authorized Official Contact | 7202138717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Path Therapy Pllc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: () - | Inner Path Therapy Pllc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (720) 213-8717 |
| NPI Number | 1023854924 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023854924 | NPI | - | NPPES |
| 1841806502 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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