| Behavioral Sleep Medicine, Llc | |
|
1155 Kelly Johnson Blvd Ste 111 Colorado Springs CO 80920-3957 | |
| (719) 373-0051 | |
| Not Available |
| Full Name | Behavioral Sleep Medicine, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1155 Kelly Johnson Blvd Ste 111, Colorado Springs, Colorado |
| Authorized Official Name and Position | Robert N Glidewell (MANAGER) |
| Authorized Official Contact | 7192397078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Sleep Medicine, Llc 6895 Battle Mountain Rd Colorado Springs CO 80922-1242 Ph: (719) 373-0051 | Behavioral Sleep Medicine, Llc 1155 Kelly Johnson Blvd Ste 111 Colorado Springs CO 80920-3957 Ph: (719) 373-0051 |
| NPI Number | 1841424546 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 1153469630 |
|---|---|
| Medicare Enrollment ID | O20091104000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841424546 | NPI | - | NPPES |
| Provider Name | Robert N Glidewell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871774240 PECOS PAC ID: 9537244090 Enrollment ID: I20080307000153 |
| Provider Name | Jessica S Pettigrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508357336 PECOS PAC ID: 2961750773 Enrollment ID: I20240112004319 |
| Provider Name | Robert Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467785360 PECOS PAC ID: 9032561840 Enrollment ID: I20240117002861 |
| Provider Name | Alexa Nell Lieb |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457957326 PECOS PAC ID: 3779925771 Enrollment ID: I20240522001992 |
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