| Mindbodyhealth Llc | |
|
1828 Clarkson St Suite 200 Denver CO 80218-1030 | |
| (303) 831-6248 | |
| Not Available |
| Full Name | Mindbodyhealth Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1828 Clarkson St, Denver, Colorado |
| Authorized Official Name and Position | William Clancy (PARTNER) |
| Authorized Official Contact | 3038316248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbodyhealth Llc 720 S Colorado Blvd Ph North Denver CO 80246-1904 Ph: (303) 831-6248 | Mindbodyhealth Llc 1828 Clarkson St Suite 200 Denver CO 80218-1030 Ph: (303) 831-6248 |
| NPI Number | 1023415338 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 6608190236 |
|---|---|
| Medicare Enrollment ID | O20150130000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023415338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3551 (Colorado) | Primary |
| Provider Name | William Clancy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366607707 PECOS PAC ID: 4789908310 Enrollment ID: I20150130000582 |
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