| Mind Spa | |
|
5340 S Quebec St # 230s Greenwood Village CO 80111-1909 | |
| (509) 385-4800 | |
| Not Available |
| Full Name | Mind Spa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5340 S Quebec St # 230s, Greenwood Village, Colorado |
| Authorized Official Name and Position | Sam Peterson (CEO) |
| Authorized Official Contact | 5093854800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Spa 5340 S Quebec St # 230s Greenwood Village CO 80111-1909 Ph: (509) 385-4800 | Mind Spa 5340 S Quebec St # 230s Greenwood Village CO 80111-1909 Ph: (509) 385-4800 |
| NPI Number | 1295408789 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 9032507926 |
|---|---|
| Medicare Enrollment ID | O20211026002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295408789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eric Daniel French |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184007098 PECOS PAC ID: 1850624321 Enrollment ID: I20190615000118 |
| Provider Name | Brigitte Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063088003 PECOS PAC ID: 7810398229 Enrollment ID: I20210623000896 |
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