| Rewild Therapy And Wellness | |
|
4225 S Logan St Englewood CO 80113-4728 | |
| (720) 295-9787 | |
| Not Available |
| Full Name | Rewild Therapy And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 4225 S Logan St, Englewood, Colorado |
| Authorized Official Name and Position | Erin Henry (THERAPIST) |
| Authorized Official Contact | 7202959787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rewild Therapy And Wellness 4225 S Logan St Englewood CO 80113-4728 Ph: (720) 295-9787 | Rewild Therapy And Wellness 4225 S Logan St Englewood CO 80113-4728 Ph: (720) 295-9787 |
| NPI Number | 1487012720 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 7719383223 |
|---|---|
| Medicare Enrollment ID | O20210909000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487012720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09922662 (Colorado) | Primary |
| Provider Name | Erin Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174940860 PECOS PAC ID: 8628474137 Enrollment ID: I20210909000640 |
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