| Headwaters Counseling Llc | |
|
899 N Logan St Ste 300 Denver CO 80203-3155 | |
| (303) 429-5099 | |
| (303) 432-6190 |
| Full Name | Headwaters Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 899 N Logan St Ste 300, Denver, Colorado |
| Authorized Official Name and Position | Whitney Sundquist Jose (OWNER) |
| Authorized Official Contact | 3033930085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Counseling Llc 899 N Logan St Ste 300 Denver CO 80203-3155 Ph: (303) 429-5099 | Headwaters Counseling Llc 899 N Logan St Ste 300 Denver CO 80203-3155 Ph: (303) 429-5099 |
| NPI Number | 1033443668 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 12/27/2020 |
| Certification Date | 12/27/2020 |
| Medicare PECOS PAC ID | 2163953563 |
|---|---|
| Medicare Enrollment ID | O20241008004562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033443668 | NPI | - | NPPES |
| 67720099 | Medicaid | CO | |
| 156368 | Medicaid | CO |
| Provider Name | Julia Michelle Borja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306385356 PECOS PAC ID: 4486185279 Enrollment ID: I20241003002938 |
| Provider Name | Christopher Eugene Wells |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932406840 PECOS PAC ID: 5294268561 Enrollment ID: I20241024002438 |
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