| Radiant Minds Mental Health Llc | |
|
844 Schrage Way Loveland CO 80537-8203 | |
| (970) 481-5523 | |
| Not Available |
| Full Name | Radiant Minds Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 844 Schrage Way, Loveland, Colorado |
| Authorized Official Name and Position | Rachel Jane Mommer (NURSE PRACTITIONER) |
| Authorized Official Contact | 9704815523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Minds Mental Health Llc 1151 Eagle Dr # 156 Loveland CO 80537-8020 Ph: () - | Radiant Minds Mental Health Llc 844 Schrage Way Loveland CO 80537-8203 Ph: (970) 481-5523 |
| NPI Number | 1396444584 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 0042671240 |
|---|---|
| Medicare Enrollment ID | O20231005001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396444584 | NPI | - | NPPES |
| 9000162783 | Medicaid | CO |
| Provider Name | Rachel J Mommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053801647 PECOS PAC ID: 0840546958 Enrollment ID: I20180703001268 |
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