| Semita Nova Therapy, Llc | |
|
5017 Prairie Lark Ln Severance CO 80615-8105 | |
| (970) 988-4159 | |
| Not Available |
| Full Name | Semita Nova Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5017 Prairie Lark Ln, Severance, Colorado |
| Authorized Official Name and Position | Shannon Booker (THERAPIST/LCSW) |
| Authorized Official Contact | 9709884159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Semita Nova Therapy, Llc 5017 Prairie Lark Ln Severance CO 80615-8105 Ph: (970) 988-4159 | Semita Nova Therapy, Llc 5017 Prairie Lark Ln Severance CO 80615-8105 Ph: (970) 988-4159 |
| NPI Number | 1326710971 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/12/2021 |
| Medicare PECOS PAC ID | 5991193690 |
|---|---|
| Medicare Enrollment ID | O20211029001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326710971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Booker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437742012 PECOS PAC ID: 5799192530 Enrollment ID: I20210324000305 |
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