| Children's Trauma Center, Llc | |
| 
					26719 Pleasant Park Rd, Ste 120 Conifer CO 80433-7753  | |
| (720) 262-1279 | |
| Not Available | 
| Full Name | Children's Trauma Center, Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 26719 Pleasant Park Rd, Ste 120, Conifer, Colorado | 
| Authorized Official Name and Position | Karen R Blackwell (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 7202621279 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Children's Trauma Center, Llc 26719 Pleasant Park Rd Ste 120 Conifer CO 80433-7753 Ph: (720) 262-1279  | Children's Trauma Center, Llc 26719 Pleasant Park Rd, Ste 120 Conifer CO 80433-7753 Ph: (720) 262-1279  | 
| NPI Number | 1376272377 | 
|---|---|
| Provider Enumeration Date | 06/07/2022 | 
| Last Update Date | 07/28/2022 | 
| Certification Date | 07/28/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376272377 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
As It Is Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26689 Pleasant Park Rd Ste 70, Conifer, CO 80433 Phone: 303-736-9590  | |
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Children's Trauma Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26719 Pleasant Park Rd Unit 120, Conifer, CO 80433 Phone: 720-262-1279  | |
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