| William Boniface, | |
|
300 N Townsend Ave, Montrose, CO 81401-3554 | |
| (970) 318-8189 | |
| Not Available |
| Full Name | William Boniface |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 300 N Townsend Ave, Montrose, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104202597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 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 |
|---|---|
| William Boniface, 8655 Pepperridge Dr, Colorado Springs, CO 80920-5739 Ph: (719) 659-1260 | William Boniface, 300 N Townsend Ave, Montrose, CO 81401-3554 Ph: (970) 318-8189 |
Mr. Matthew R Sena, LPC Counselor Medicare: Medicare Enrolled Practice Location: 605 Miami Rd, Montrose, CO 81401 Phone: 970-252-3200 Fax: 970-874-4169 | |
Kirsten Arebalos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Miami Rd, Montrose, CO 81401 Phone: 970-497-8955 | |
Kitty D. Reed-macdonald, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1010 Rio Grande Ave, Montrose, CO 81401 Phone: 970-497-3333 Fax: 855-299-7837 | |
Beth A Bates, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Scarlet Ct, Montrose, CO 81401 Phone: 317-445-9275 | |
Hannah Catherine Mchargue, LSW Counselor Medicare: Medicare Enrolled Practice Location: 947 S 5th St, Montrose, CO 81401 Phone: 970-249-2421 Fax: 855-638-4966 | |
Sarah Grace Stangebye, MS Counselor Medicare: Medicare Enrolled Practice Location: 95 Merchant Dr Ste B-1, Montrose, CO 81401 Phone: 970-964-2783 Fax: 970-964-2778 | |
Benjamin Drew Sanders, LPC Counselor Medicare: Medicare Enrolled Practice Location: 605 Miami Rd, Montrose, CO 81401 Phone: 970-252-3200 Fax: 970-874-4169 |