| Blue Mandala, Llc | |
|
3955 E Exposition Ave Ste 500-11 Denver CO 80209-5000 | |
| (720) 432-8274 | |
| Not Available |
| Full Name | Blue Mandala, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3955 E Exposition Ave Ste 500-11, Denver, Colorado |
| Authorized Official Name and Position | Ellen Patricia Feighny (OWNER) |
| Authorized Official Contact | 7204328274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mandala, Llc 3955 E Exposition Ave Ste 500-11 Denver CO 80209-5000 Ph: (720) 432-8274 | Blue Mandala, Llc 3955 E Exposition Ave Ste 500-11 Denver CO 80209-5000 Ph: (720) 432-8274 |
| NPI Number | 1508441825 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 4880121771 |
|---|---|
| Medicare Enrollment ID | O20241216003901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508441825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ellen P Feighny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073947420 PECOS PAC ID: 1153624978 Enrollment ID: I20160127002497 |
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