| Awareness Collaborative Pllc | |
|
12197 Applewood Ct Broomfield CO 80020-7982 | |
| (720) 629-2729 | |
| (303) 389-6959 |
| Full Name | Awareness Collaborative Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12197 Applewood Ct, Broomfield, Colorado |
| Authorized Official Name and Position | Jamie Gibbs (OWNER) |
| Authorized Official Contact | 7206292729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness Collaborative Pllc Po Box 1929 Wheat Ridge CO 80034-1929 Ph: (720) 629-2729 | Awareness Collaborative Pllc 12197 Applewood Ct Broomfield CO 80020-7982 Ph: (720) 629-2729 |
| NPI Number | 1760140008 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/02/2025 |
| Medicare PECOS PAC ID | 0648619536 |
|---|---|
| Medicare Enrollment ID | O20240411001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760140008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jamie Lynn Gibbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972907384 PECOS PAC ID: 1557700440 Enrollment ID: I20240411001639 |
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