| Umbrella Collective Inc | |
|
1443 Spruce Street Boulder CO 80302-4814 | |
| (720) 663-0163 | |
| (303) 658-9871 |
| Full Name | Umbrella Collective Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1443 Spruce Street, Boulder, Colorado |
| Authorized Official Name and Position | Li Brookens (OWNER) |
| Authorized Official Contact | 7206630163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Collective Inc 2919 Valmont Road Suite 104 Boulder CO 80301-1350 Ph: (720) 663-0163 | Umbrella Collective Inc 1443 Spruce Street Boulder CO 80302-4814 Ph: (720) 663-0163 |
| NPI Number | 1437880200 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437880200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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