Brief Psychotherapy Institute Llc | |
1022 Depot Hill Rd Broomfield CO 80020-1068 | |
(720) 640-1910 | |
(303) 664-1651 |
Full Name | Brief Psychotherapy Institute Llc |
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Speciality | Family Medicine |
Location | 1022 Depot Hill Rd, Broomfield, Colorado |
Authorized Official Name and Position | David Leistikow (OWNER) |
Authorized Official Contact | 3035494076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brief Psychotherapy Institute Llc 9770 Isabelle Rd Lafayette CO 80026-9104 Ph: (720) 640-1910 | Brief Psychotherapy Institute Llc 1022 Depot Hill Rd Broomfield CO 80020-1068 Ph: (720) 640-1910 |
NPI Number | 1669214193 |
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Provider Enumeration Date | 06/06/2024 |
Last Update Date | 06/06/2024 |
Medicare PECOS PAC ID | 7315487287 |
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Medicare Enrollment ID | O20240905003567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669214193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David C Leistikow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437241874 PECOS PAC ID: 1658285572 Enrollment ID: I20100901000807 |
Raining Faith Massage Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Mcintosh Ave, Broomfield, CO 80020 Phone: 720-259-2289 Fax: 720-259-2289 | |
Broomfield Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6363 W 120th Ave, Suite 302, Broomfield, CO 80020 Phone: 303-635-2225 | |
Half Moon Health & Wellness, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Industrial Ln Unit 1a, Broomfield, CO 80020 Phone: 720-912-4098 |