| Renaissance Therapy Denver | |
|
4495 Hale Pkwy Ste 114 Denver CO 80220-6203 | |
| (303) 523-3698 | |
| Not Available |
| Full Name | Renaissance Therapy Denver |
|---|---|
| Speciality | Social Worker |
| Location | 4495 Hale Pkwy Ste 114, Denver, Colorado |
| Authorized Official Name and Position | Renee Veronica Rivera (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3035233698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Therapy Denver 1044 Milwaukee St Denver CO 80206-3338 Ph: (303) 523-3698 | Renaissance Therapy Denver 4495 Hale Pkwy Ste 114 Denver CO 80220-6203 Ph: (303) 523-3698 |
| NPI Number | 1982205704 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 8628489689 |
|---|---|
| Medicare Enrollment ID | O20201123001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982205704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee Veronica Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184198723 PECOS PAC ID: 8224362934 Enrollment ID: I20190701001091 |
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