Synergy Services Llc | |
2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 | |
(970) 462-7329 | |
Not Available |
Full Name | Synergy Services Llc |
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Speciality | Social Worker |
Location | 2470 Patterson Rd Ste 6, Grand Junction, Colorado |
Authorized Official Name and Position | Kristen Kneebone (OWNER) |
Authorized Official Contact | 9704627329 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Synergy Services Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: (970) 462-7329 | Synergy Services Llc 2470 Patterson Rd Ste 6 Grand Junction CO 81505-1028 Ph: (970) 462-7329 |
NPI Number | 1770190464 |
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Provider Enumeration Date | 09/26/2020 |
Last Update Date | 01/21/2023 |
Certification Date | 01/21/2023 |
Medicare PECOS PAC ID | 4284045808 |
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Medicare Enrollment ID | O20201202002257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770190464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
Provider Name | Kristen Marisol Kneebone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700213402 PECOS PAC ID: 6002227626 Enrollment ID: I20201202002440 |
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