Your Brain Fit | |
1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 | |
(720) 767-2286 | |
Not Available |
Full Name | Your Brain Fit |
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Speciality | Clinic/Center |
Location | 1536 Cole Blvd Ste 205, Lakewood, Colorado |
Authorized Official Name and Position | Tamera Watt (CEO) |
Authorized Official Contact | 7044501447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Your Brain Fit 1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 Ph: (720) 767-2286 | Your Brain Fit 1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 Ph: (720) 767-2286 |
NPI Number | 1447910625 |
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Provider Enumeration Date | 12/29/2021 |
Last Update Date | 11/21/2022 |
Medicare PECOS PAC ID | 4880066075 |
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Medicare Enrollment ID | O20230216002459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447910625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Regina Leverrier |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861557506 PECOS PAC ID: 0345232104 Enrollment ID: I20090902000036 |
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