| Mr Glenn William Tyson, LPC | |
|
8015 W Alameda Ave, Lakewood, CO 80226-3041 | |
| (720) 767-2893 | |
| Not Available |
| Full Name | Mr Glenn William Tyson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 8015 W Alameda Ave, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154929255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0016334 (Colorado) | Primary |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
| Entity Name | Progress Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407678956 PECOS PAC ID: 6103352505 Enrollment ID: O20241209003113 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glenn William Tyson, LPC 10344 W 44th Ave Apt 2c, Wheat Ridge, CO 80033-2741 Ph: (973) 647-5558 | Mr Glenn William Tyson, LPC 8015 W Alameda Ave, Lakewood, CO 80226-3041 Ph: (720) 767-2893 |
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 |