Mr Tyler Scott Bowen, LPC | |
244 E Agate Ave, Granby, CO 80446 | |
(970) 887-2179 | |
(970) 887-9311 |
Full Name | Mr Tyler Scott Bowen |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 244 E Agate Ave, Granby, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710279237 | NPI | - | NPPES |
39376320 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 11492 (Colorado) | Primary |
Entity Name | Colorado West Regional Mental Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992708176 PECOS PAC ID: 8628977329 Enrollment ID: O20031231000654 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler Scott Bowen, LPC 715 Horizon Dr, Ste 225, Grand Junction, CO 81506-8700 Ph: (970) 683-7107 | Mr Tyler Scott Bowen, LPC 244 E Agate Ave, Granby, CO 80446 Ph: (970) 887-2179 |
Katherine A. Georgic, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Cty Rd 610, Granby, CO 80446 Phone: 970-887-2179 Fax: 970-887-9311 | |
Sally Ann Ryman, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 East Agate Ave, Granby, CO 80446 Phone: 970-887-2179 | |
Mrs. Jessica Lauren Morse, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 County Road 610, Granby, CO 80446 Phone: 970-887-2179 Fax: 970-887-9311 | |
Rachel Ann Hoyhtya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 East Agate Ave, Granby, CO 80446 Phone: 970-887-2179 | |
Mr. Lance M. Howe, MSW, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 East Agate Ave, Granby, CO 80446 Phone: 970-887-2179 Fax: 970-887-9311 | |
Lisa Marie Ansell, ED. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 N. 3rd Street, Granby, CO 80446 Phone: 970-509-0321 | |
Shawn Dinkel, M.A., L.P.C., CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 East Agate Ave., Granby, CO 80446 Phone: 970-887-2179 Fax: 970-887-9311 |