| Lfc Medicaid Therapists, Llc | |
|
924 Main St Louisville CO 80027-1854 | |
| (303) 604-6373 | |
| Not Available |
| Full Name | Lfc Medicaid Therapists, Llc |
|---|---|
| Speciality | Counselor |
| Location | 924 Main St, Louisville, Colorado |
| Authorized Official Name and Position | Michele S Beach (CO-OWNER) |
| Authorized Official Contact | 3037256782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lfc Medicaid Therapists, Llc 924 Main St Louisville CO 80027-1854 Ph: (303) 604-6373 | Lfc Medicaid Therapists, Llc 924 Main St Louisville CO 80027-1854 Ph: (303) 604-6373 |
| NPI Number | 1710755004 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 4284073719 |
|---|---|
| Medicare Enrollment ID | O20240417001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710755004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Christine E Lochary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326654260 PECOS PAC ID: 2365881711 Enrollment ID: I20240417003285 |
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