| Beyond The Mirror, Llc | |
|
2627 Redwing Rd Ste 250 Fort Collins CO 80526-6329 | |
| (970) 402-8543 | |
| (970) 788-7600 |
| Full Name | Beyond The Mirror, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2627 Redwing Rd Ste 250, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer Amaral-kunze (OWNER) |
| Authorized Official Contact | 9704028543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Mirror, Llc 2627 Redwing Rd Ste 250 Fort Collins CO 80526-6329 Ph: (970) 402-8543 | Beyond The Mirror, Llc 2627 Redwing Rd Ste 250 Fort Collins CO 80526-6329 Ph: (970) 402-8543 |
| NPI Number | 1265661169 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 2466895545 |
|---|---|
| Medicare Enrollment ID | O20240206000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265661169 | NPI | - | NPPES |
| Provider Name | Jennifer Amaral-kunze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215241286 PECOS PAC ID: 3375986482 Enrollment ID: I20240226003274 |
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