| My Seasons Therapy | |
|
2095 W 6th Ave Ste 201 Broomfield CO 80020-1880 | |
| (720) 998-6276 | |
| Not Available |
| Full Name | My Seasons Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 2095 W 6th Ave Ste 201, Broomfield, Colorado |
| Authorized Official Name and Position | Stacey Hoffman Hiatt (THERAPIST) |
| Authorized Official Contact | 7209986276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Seasons Therapy 11224 Quivas Loop Westminster CO 80234-2615 Ph: (303) 547-2313 | My Seasons Therapy 2095 W 6th Ave Ste 201 Broomfield CO 80020-1880 Ph: (720) 998-6276 |
| NPI Number | 1316676877 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 3577946870 |
|---|---|
| Medicare Enrollment ID | O20220819000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316676877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey G Hoffman-hiatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588095541 PECOS PAC ID: 5294964128 Enrollment ID: I20140218001403 |
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