| Mr Brian Davis, | |
|
12610 W Bayaud Ave Unit 8, Lakewood, CO 80228-2022 | |
| (720) 273-0021 | |
| Not Available |
| Full Name | Mr Brian Davis |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 12610 W Bayaud Ave Unit 8, Lakewood, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245570399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0017226 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| 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 |
|---|---|
| Mr Brian Davis, 12610 W Bayaud Ave Unit 8, Lakewood, CO 80228-2022 Ph: (720) 273-0021 | Mr Brian Davis, 12610 W Bayaud Ave Unit 8, Lakewood, CO 80228-2022 Ph: (720) 273-0021 |
Mrs. Karen Quinlisk, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1658 Cole Blvd, Building 6, Suite 295, Lakewood, CO 80401 Phone: 303-748-9065 | |
Erica Lynn Johnson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 Union Blvd Ste 200, Lakewood, CO 80228 Phone: 720-468-0806 | |
Melissa Tilleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8678 W Dartmouth Pl, Lakewood, CO 80227 Phone: 970-235-0913 | |
Darrin Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12567 W Cedar Dr Ste 100, Lakewood, CO 80228 Phone: 888-719-1097 | |
Jessica Tota, MS, LPCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Union Blvd Ste 430, Lakewood, CO 80228 Phone: 303-250-1327 | |
Timothy Plucinsky, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8244 W Iliff Ln, Lakewood, CO 80227 Phone: 720-284-9625 | |
Tiyanna Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12055 W 2nd Pl, Lakewood, CO 80228 Phone: 303-425-0300 |