| Solace Healing Of Northern Colorado | |
|
109 Coronado Ct Bldg 7 Fort Collins CO 80525-4929 | |
| (970) 599-1205 | |
| Not Available |
| Full Name | Solace Healing Of Northern Colorado |
|---|---|
| Speciality | Social Worker |
| Location | 109 Coronado Ct Bldg 7, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer Nicole Leimbach (THERAPIST) |
| Authorized Official Contact | 9705991205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Healing Of Northern Colorado 109 Coronado Ct # 7 Fort Collins CO 80525-4929 Ph: (970) 599-1205 | Solace Healing Of Northern Colorado 109 Coronado Ct Bldg 7 Fort Collins CO 80525-4929 Ph: (970) 599-1205 |
| NPI Number | 1861156960 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 6608268180 |
|---|---|
| Medicare Enrollment ID | O20220112002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861156960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Leimbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225608201 PECOS PAC ID: 9638575814 Enrollment ID: I20210914001582 |
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