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19750 E Parker Square Dr Ste 104-105 Parker CO 80134-7303 | |
| (720) 340-7000 | |
| (720) 764-7494 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 19750 E Parker Square Dr Ste 104-105, Parker, Colorado |
| Authorized Official Name and Position | Amanda Turecek (OWNER) |
| Authorized Official Contact | 7203609343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
19750 E Parker Square Dr Ste 104-105 Parker CO 80134-7303 Ph: (720) 340-7000 | 19750 E Parker Square Dr Ste 104-105 Parker CO 80134-7303 Ph: (720) 340-7000 |
| NPI Number | 1285298976 |
|---|---|
| Provider Enumeration Date | 04/28/2019 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 2769921105 |
|---|---|
| Medicare Enrollment ID | O20240828005241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285298976 | NPI | - | NPPES |
| Provider Name | Amanda Marie Turecek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841602513 PECOS PAC ID: 3678012010 Enrollment ID: I20240828005254 |
| Provider Name | Shatonya Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346928496 PECOS PAC ID: 0345789798 Enrollment ID: I20240829000140 |
| Provider Name | Sharon Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730509381 PECOS PAC ID: 7012277536 Enrollment ID: I20240829000178 |
| Provider Name | Renee Struck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972185080 PECOS PAC ID: 0840739298 Enrollment ID: I20240829000300 |
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