| Spark Of Serenity, Llc | |
|
3400 Table Mesa Dr Ste 205 Boulder CO 80305-5850 | |
| (720) 819-6226 | |
| Not Available |
| Full Name | Spark Of Serenity, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3400 Table Mesa Dr Ste 205, Boulder, Colorado |
| Authorized Official Name and Position | Anna Alford (OWNER) |
| Authorized Official Contact | 7208196226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Of Serenity, Llc 717 Simpson Dr Lafayette CO 80026-1053 Ph: () - | Spark Of Serenity, Llc 3400 Table Mesa Dr Ste 205 Boulder CO 80305-5850 Ph: (720) 819-6226 |
| NPI Number | 1679348726 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/23/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679348726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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