| New Leaf Healing Llc | |
|
2401 Creekwood Dr Fort Collins CO 80525-2033 | |
| (970) 310-7799 | |
| Not Available |
| Full Name | New Leaf Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 2401 Creekwood Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Shaunna Christie Ostrom (LCSW) |
| Authorized Official Contact | 9704606356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Healing Llc 2401 Creekwood Dr Fort Collins CO 80525-2033 Ph: (970) 310-7799 | New Leaf Healing Llc 2401 Creekwood Dr Fort Collins CO 80525-2033 Ph: (970) 310-7799 |
| NPI Number | 1972189769 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 0648688663 |
|---|---|
| Medicare Enrollment ID | O20210412002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972189769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Shaunna C Ostrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932509890 PECOS PAC ID: 7113249459 Enrollment ID: I20141124000431 |
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