| Sierra Peaks Behavioral Solutions, Llc | |
|
361 S Camino Del Rio # 238 Durango CO 81303-7997 | |
| (505) 860-9592 | |
| (970) 382-9301 |
| Full Name | Sierra Peaks Behavioral Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 361 S Camino Del Rio # 238, Durango, Colorado |
| Authorized Official Name and Position | Anne Dizenzo (MEMBER/BEHAVIOR THERAPIST) |
| Authorized Official Contact | 5058609592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Peaks Behavioral Solutions, Llc 361 S Camino Del Rio # 238 Durango CO 81303-7997 Ph: (505) 860-9592 | Sierra Peaks Behavioral Solutions, Llc 361 S Camino Del Rio # 238 Durango CO 81303-7997 Ph: (505) 860-9592 |
| NPI Number | 1518451855 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 0547610453 |
|---|---|
| Medicare Enrollment ID | O20231219000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518451855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-07467 (New Mexico) | Primary |
| 251S00000X | Community/behavioral Health | 1769 (Colorado) | Secondary |
| Provider Name | Anne Dizenzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326429267 PECOS PAC ID: 8022376532 Enrollment ID: I20171211000706 |
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