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1720 S Bellaire St Ste 909 Denver CO 80222-4333 | |
| (303) 476-1974 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1720 S Bellaire St Ste 909, Denver, Colorado |
| Authorized Official Name and Position | Briana Severine (FOUNDER) |
| Authorized Official Contact | 5626182319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1720 S Bellaire St Ste 909 Denver CO 80222-4333 Ph: (562) 618-2319 | 1720 S Bellaire St Ste 909 Denver CO 80222-4333 Ph: (303) 476-1974 |
| NPI Number | 1912577867 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 3173965498 |
|---|---|
| Medicare Enrollment ID | O20240531000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912577867 | NPI | - | NPPES |
| Provider Name | Briana Severine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922340959 PECOS PAC ID: 6800338963 Enrollment ID: I20240606001080 |
| Provider Name | Alison Pierucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154684884 PECOS PAC ID: 2264974229 Enrollment ID: I20240606001646 |
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