| Michele Mortensen, Llc | |
|
60651 Us Hwy 285 Bailey CO 80421-2108 | |
| (303) 264-7521 | |
| Not Available |
| Full Name | Michele Mortensen, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 60651 Us Hwy 285, Bailey, Colorado |
| Authorized Official Name and Position | Michele Mortensen (OWNER/THERAPIST) |
| Authorized Official Contact | 3032647521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Mortensen, Llc 98 Panorama Dr Bailey CO 80421-2180 Ph: (303) 264-7521 | Michele Mortensen, Llc 60651 Us Hwy 285 Bailey CO 80421-2108 Ph: (303) 264-7521 |
| NPI Number | 1790555746 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790555746 | NPI | - | NPPES |
| 9000155437 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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