| Oz Psychotherapy Llc | |
|
2850 Mcclelland Dr Ste 3000m Fort Collins CO 80525-5206 | |
| (970) 632-3332 | |
| (970) 449-7404 |
| Full Name | Oz Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2850 Mcclelland Dr Ste 3000m, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer Stephenson (OWNER/PROVIDER) |
| Authorized Official Contact | 9706323332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oz Psychotherapy Llc 2850 Mcclelland Dr Ste 3000m Fort Collins CO 80525-5206 Ph: (970) 632-3332 | Oz Psychotherapy Llc 2850 Mcclelland Dr Ste 3000m Fort Collins CO 80525-5206 Ph: (970) 632-3332 |
| NPI Number | 1851809123 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851809123 | NPI | - | NPPES |
| 1699050088 | Medicaid | CO | |
| 9000162221 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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