| Purposeful Growth, Pc | |
|
12157 W Cedar Dr Ste 200 Lakewood CO 80228-2105 | |
| (720) 556-9422 | |
| Not Available |
| Full Name | Purposeful Growth, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 12157 W Cedar Dr Ste 200, Lakewood, Colorado |
| Authorized Official Name and Position | Suzanne Nelson (OWNER) |
| Authorized Official Contact | 7205569422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Growth, Pc Po Box 140251 Edgewater CO 80214-0251 Ph: () - | Purposeful Growth, Pc 12157 W Cedar Dr Ste 200 Lakewood CO 80228-2105 Ph: (720) 556-9422 |
| NPI Number | 1639621600 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Medicare PECOS PAC ID | 1759659683 |
|---|---|
| Medicare Enrollment ID | O20170619002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639621600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00000670 (Colorado) | Primary |
| Provider Name | Suzanne Rene Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033504345 PECOS PAC ID: 5597058859 Enrollment ID: I20160725000339 |
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