Wild Essence Nature Guiding & Therapy, Llc | |
4251 Kipling St Unit 430 Wheat Ridge CO 80033-2970 | |
(720) 381-4977 | |
Not Available |
Full Name | Wild Essence Nature Guiding & Therapy, Llc |
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Speciality | Counselor |
Location | 4251 Kipling St Unit 430, Wheat Ridge, Colorado |
Authorized Official Name and Position | Misty Ariella Hubbard (OWNER) |
Authorized Official Contact | 7203814977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wild Essence Nature Guiding & Therapy, Llc 8441 Everett Way Unit E Arvada CO 80005-2398 Ph: () - | Wild Essence Nature Guiding & Therapy, Llc 4251 Kipling St Unit 430 Wheat Ridge CO 80033-2970 Ph: (720) 381-4977 |
NPI Number | 1396519187 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/13/2023 |
Certification Date | 11/12/2023 |
Medicare PECOS PAC ID | 7719321017 |
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Medicare Enrollment ID | O20240214002810 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396519187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Misty Ariella Hubbard |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942080411 PECOS PAC ID: 8628412921 Enrollment ID: I20240214003264 |
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