Inner Shell Therapy Llc | |
4312 Shadowbrook Ct Fort Collins CO 80526-3445 | |
(197) 042-0731 | |
Not Available |
Full Name | Inner Shell Therapy Llc |
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Speciality | Counselor |
Location | 4312 Shadowbrook Ct, Fort Collins, Colorado |
Authorized Official Name and Position | Nicole Sophia Froman (OWNER) |
Authorized Official Contact | 9704207318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Shell Therapy Llc 4312 Shadowbrook Ct Fort Collins CO 80526-3445 Ph: (197) 042-0731 | Inner Shell Therapy Llc 4312 Shadowbrook Ct Fort Collins CO 80526-3445 Ph: (197) 042-0731 |
NPI Number | 1184294738 |
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Provider Enumeration Date | 06/27/2021 |
Last Update Date | 06/27/2021 |
Certification Date | 06/27/2021 |
Medicare PECOS PAC ID | 1850753278 |
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Medicare Enrollment ID | O20230817001229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184294738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Nicole Sophia Froman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609466614 PECOS PAC ID: 2769844182 Enrollment ID: I20230821000653 |
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