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9725 E Hampden Ave Ste 400 Denver CO 80231-4919 | |
| (303) 514-6188 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 9725 E Hampden Ave Ste 400, Denver, Colorado |
| Authorized Official Name and Position | Lauren Rivas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3035046188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9725 E Hampden Ave Ste 400 Denver CO 80231-4919 Ph: (303) 514-6188 | 9725 E Hampden Ave Ste 400 Denver CO 80231-4919 Ph: (303) 514-6188 |
| NPI Number | 1548044738 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 01/04/2024 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 9931633740 |
|---|---|
| Medicare Enrollment ID | O20241114004534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548044738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Steven Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023875937 PECOS PAC ID: 8729513379 Enrollment ID: I20241120000785 |
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