| Michelle Chabino, LPC, LAC | |
|
11811 Upham St # J2, Broomfield, CO 80020-2753 | |
| (303) 443-0866 | |
| Not Available |
| Full Name | Michelle Chabino |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11811 Upham St # J2, Broomfield, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558648691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001788 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC.0012046 (Colorado) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| 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 |
|---|---|
| Michelle Chabino, LPC, LAC 1050 W 8th Avenue Dr, Broomfield, CO 80020-3403 Ph: (720) 207-4413 | Michelle Chabino, LPC, LAC 11811 Upham St # J2, Broomfield, CO 80020-2753 Ph: (303) 443-0866 |
Melissa Rose Rank, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3303 W 144th Ave Unit 204, Broomfield, CO 80023 Phone: 720-709-2810 | |
Mrs. Shirell Renee White, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2605 W 144th Ave, Broomfield, CO 80023 Phone: 720-588-9190 | |
Kevala Kenna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17025 Melody Dr, Broomfield, CO 80023 Phone: 720-296-0257 | |
Brandi Gillen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Interlocken Blvd Ste 100, Broomfield, CO 80021 Phone: 720-773-8727 | |
Tracy Abel, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3231 W 134th Ave, Broomfield, CO 80020 Phone: 720-515-1622 | |
Grae Ferrer Roda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Breckenridge Trl, Broomfield, CO 80020 Phone: 720-840-0191 | |
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182 |