| Ivy Psychotherapies Llc | |
|
580 Pershing St Suite 1 Craig CO 81625-3053 | |
| (917) 730-7789 | |
| (970) 367-1499 |
| Full Name | Ivy Psychotherapies Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 580 Pershing St, Craig, Colorado |
| Authorized Official Name and Position | Elisa H Alvim-told (OWNER) |
| Authorized Official Contact | 9177307789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Psychotherapies Llc 2340 W 1620 N Circle St George UT 84770-5313 Ph: (917) 730-7789 | Ivy Psychotherapies Llc 580 Pershing St Suite 1 Craig CO 81625-3053 Ph: (917) 730-7789 |
| NPI Number | 1295213171 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/02/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295213171 | NPI | - | NPPES |
| 52720586 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9923637 (Colorado) | Primary |
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