Toni Lavely, | |
142 6th St Unit 2, Frederick, CO 80530-5004 | |
(130) 383-3084 | |
Not Available |
Full Name | Toni Lavely |
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Gender | Female |
Speciality | Counselor |
Location | 142 6th St Unit 2, Frederick, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558819961 | NPI | - | NPPES |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
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Toni Lavely, Po Box 718, Firestone, CO 80520 Ph: () - | Toni Lavely, 142 6th St Unit 2, Frederick, CO 80530-5004 Ph: (130) 383-3084 |
Ms. Jacquelyn Patricia Harris, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 616, Frederick, CO 80530 Phone: 281-300-1836 | |
Erin Daugherty, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5206 13th St, Frederick, CO 80504 Phone: 539-252-1298 | |
Nicole Lynn Simpson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5479 Shoshone Dr, Frederick, CO 80504 Phone: 720-340-2367 | |
Mrs. Kristina L Coonce, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7403 Farmdale St, Frederick, CO 80530 Phone: 920-420-5575 | |
Luis Felipe Diaz, RP Counselor Medicare: Medicare Enrolled Practice Location: 5995 Iris Pkwy, Frederick, CO 80504 Phone: 303-697-2583 | |
Patricia Ann Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5476 Caribou Dr, Frederick, CO 80504 Phone: 720-753-7996 | |
Lissette D Frederick, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5995 Iris Pkwy, Frederick, CO 80504 Phone: 303-697-2583 Fax: 303-833-6515 |