| Mr Thomas Wilson Stuart, MA, LPC, LAC | |
|
55 W 5th Ave, Denver, CO 80204-5102 | |
| (303) 657-3700 | |
| Not Available |
| Full Name | Mr Thomas Wilson Stuart |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 55 W 5th Ave, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225465636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000801 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC.0014790 (Colorado) | Primary |
| Entity Name | Westside Behavioral Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851402903 PECOS PAC ID: 8426031774 Enrollment ID: O20040609000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Wilson Stuart, MA, LPC, LAC 55 W 5th Ave, Denver, CO 80204-5102 Ph: (303) 657-3700 | Mr Thomas Wilson Stuart, MA, LPC, LAC 55 W 5th Ave, Denver, CO 80204-5102 Ph: (303) 657-3700 |
Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239 | |
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020 | |
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020 | |
Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-312-9601 | |
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000 | |
Amber L Surls, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910 | |
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858 |