| 4 Winds / 5 Elements Counseling And Healing Arts Pllc | |
|
2201 Kipling St Ste 204 Lakewood CO 80215-1545 | |
| (720) 520-2762 | |
| Not Available |
| Full Name | 4 Winds / 5 Elements Counseling And Healing Arts Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2201 Kipling St Ste 204, Lakewood, Colorado |
| Authorized Official Name and Position | Janet M Reichart (OWNER) |
| Authorized Official Contact | 7205202762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Winds / 5 Elements Counseling And Healing Arts Pllc Po Box 356 Kittredge CO 80457-0356 Ph: (720) 520-2762 | 4 Winds / 5 Elements Counseling And Healing Arts Pllc 2201 Kipling St Ste 204 Lakewood CO 80215-1545 Ph: (720) 520-2762 |
| NPI Number | 1841829520 |
|---|---|
| Provider Enumeration Date | 04/05/2020 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Medicare PECOS PAC ID | 1951710417 |
|---|---|
| Medicare Enrollment ID | O20210513000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841829520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
| Provider Name | Janet M Reichart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982243929 PECOS PAC ID: 9032544713 Enrollment ID: I20200128000460 |
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