| Surviving To Thriving Llc | |
|
3194 Fairmont Dr Unit 11b Wellington CO 80549-1891 | |
| (970) 515-3646 | |
| Not Available |
| Full Name | Surviving To Thriving Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3194 Fairmont Dr Unit 11b, Wellington, Colorado |
| Authorized Official Name and Position | Tiah Terranova (FULL MEMBER) |
| Authorized Official Contact | 9705153646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surviving To Thriving Llc 3194 Fairmont Dr Unit 11b Wellington CO 80549-1891 Ph: (970) 515-3646 | Surviving To Thriving Llc 3194 Fairmont Dr Unit 11b Wellington CO 80549-1891 Ph: (970) 515-3646 |
| NPI Number | 1346901360 |
|---|---|
| Provider Enumeration Date | 01/02/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 0941692743 |
|---|---|
| Medicare Enrollment ID | O20220127001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346901360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tiah L Terranova |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891928479 PECOS PAC ID: 6204085319 Enrollment ID: I20121005000044 |
Laurel Tree Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4227 White Deer Ln, Wellington, CO 80549 Phone: 970-316-2298 | |
Men And Women Seeking Empowement Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3161 County Road 62e, Wellington, CO 80549 Phone: 303-665-7037 Fax: 720-890-7111 | |
Tanner Autism Services Of Colorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 E County Road 62e, Wellington, CO 80549 Phone: 970-818-0197 Fax: 970-295-4052 | |
Two Owls Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7840 1st St, Wellington, CO 80549 Phone: 970-402-3135 | |
Specialty Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4006 Cleveland Ave, Bldg B, Ste 1, Wellington, CO 80549 Phone: 307-459-3670 Fax: 307-426-4799 |