Liberty Counseling Pllc | |
5290 Dtc Pkwy Ste 150 Greenwood Village CO 80111-2764 | |
(720) 416-3451 | |
(970) 233-4565 |
Full Name | Liberty Counseling Pllc |
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Speciality | Psychologist |
Location | 5290 Dtc Pkwy Ste 150, Greenwood Village, Colorado |
Authorized Official Name and Position | Isabella F Geyer (OWNER) |
Authorized Official Contact | 7204163451 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberty Counseling Pllc Po Box 1028 Ouray CO 81427-1028 Ph: (720) 416-3451 | Liberty Counseling Pllc 5290 Dtc Pkwy Ste 150 Greenwood Village CO 80111-2764 Ph: (720) 416-3451 |
NPI Number | 1578014411 |
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Provider Enumeration Date | 10/15/2016 |
Last Update Date | 04/23/2021 |
Certification Date | 04/23/2021 |
Medicare PECOS PAC ID | 4284902180 |
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Medicare Enrollment ID | O20170619000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578014411 | NPI | - | NPPES |
9000149751 | Medicaid | CO |
Provider Name | Isabella Fredrika Geyer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154730851 PECOS PAC ID: 4981972924 Enrollment ID: I20170616000588 |
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