New Terrain Therapy, Llc | |
11178 Huron St Ste 201 Northglenn CO 80234-3343 | |
(720) 910-2816 | |
(303) 955-8109 |
Full Name | New Terrain Therapy, Llc |
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Speciality | Social Worker |
Location | 11178 Huron St Ste 201, Northglenn, Colorado |
Authorized Official Name and Position | Leah Landis (OWNER) |
Authorized Official Contact | 6185215529 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Terrain Therapy, Llc 11178 Huron St Ste 201 Northglenn CO 80234-3343 Ph: (720) 910-2816 | New Terrain Therapy, Llc 11178 Huron St Ste 201 Northglenn CO 80234-3343 Ph: (720) 910-2816 |
NPI Number | 1568191633 |
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Provider Enumeration Date | 06/06/2022 |
Last Update Date | 08/16/2022 |
Certification Date | 08/16/2022 |
Medicare PECOS PAC ID | 1052795804 |
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Medicare Enrollment ID | O20220829002294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568191633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Leah Enilia Landis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417231556 PECOS PAC ID: 3779719059 Enrollment ID: I20190619002269 |
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