Reflective Wellness Mind And Body | |
13731 E Rice Pl Ste 200 Aurora CO 80015-1077 | |
(720) 949-1707 | |
(720) 639-2317 |
Full Name | Reflective Wellness Mind And Body |
---|---|
Speciality | Counselor |
Location | 13731 E Rice Pl Ste 200, Aurora, Colorado |
Authorized Official Name and Position | Letitia Jackson (OWNER) |
Authorized Official Contact | 3032573746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Reflective Wellness Mind And Body 13731 E Rice Pl Ste 200 Aurora CO 80015-1077 Ph: (303) 257-3746 | Reflective Wellness Mind And Body 13731 E Rice Pl Ste 200 Aurora CO 80015-1077 Ph: (720) 949-1707 |
NPI Number | 1083250039 |
---|---|
Provider Enumeration Date | 11/25/2019 |
Last Update Date | 11/25/2019 |
Medicare PECOS PAC ID | 5294176186 |
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Medicare Enrollment ID | O20240509001229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083250039 | NPI | - | NPPES |
37554522 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Letitia Jackson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962651703 PECOS PAC ID: 6103267091 Enrollment ID: I20240509001398 |
Provider Name | Mallory Lauren Kruse |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639726326 PECOS PAC ID: 6608319058 Enrollment ID: I20240613004025 |
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