| Sarah Pettay, | |
|
8931 Huron St, Thornton, CO 80260-6806 | |
| (303) 853-3500 | |
| Not Available |
| Full Name | Sarah Pettay |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8931 Huron St, Thornton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396267613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001233 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Pettay, 8931 Huron St, Thornton, CO 80260-6806 Ph: (303) 853-3500 | Sarah Pettay, 8931 Huron St, Thornton, CO 80260-6806 Ph: (303) 853-3500 |
Tiffany T Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Julia Matamoros, Counselor Medicare: Medicare Enrolled Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Stefanie Turk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Tara Lynn Hefty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Anne Hadaway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3540 | |
Marie George, CPG Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3654 | |
Paul Wozniak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 |