Lindsey Wilkinson Llc | |
825 S Broadway St Ste 12 Boulder CO 80305-5932 | |
(303) 817-5540 | |
Not Available |
Full Name | Lindsey Wilkinson Llc |
---|---|
Speciality | Counselor |
Location | 825 S Broadway St Ste 12, Boulder, Colorado |
Authorized Official Name and Position | Lindsey Wilkinson (PRESIDENT) |
Authorized Official Contact | 3038175540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lindsey Wilkinson Llc Po Box 3482 Nederland CO 80466-3304 Ph: (303) 817-5540 | Lindsey Wilkinson Llc 825 S Broadway St Ste 12 Boulder CO 80305-5932 Ph: (303) 817-5540 |
NPI Number | 1528708864 |
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Provider Enumeration Date | 04/01/2022 |
Last Update Date | 04/01/2022 |
Certification Date | 04/01/2022 |
Medicare PECOS PAC ID | 0749627123 |
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Medicare Enrollment ID | O20240320003917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528708864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Lindsey Wilkinson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669028619 PECOS PAC ID: 1658718036 Enrollment ID: I20240320003983 |
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