| Cultivating Wildflowers | |
|
1650 38th St Ste 100e Boulder CO 80301-2624 | |
| (303) 335-0927 | |
| Not Available |
| Full Name | Cultivating Wildflowers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 38th St Ste 100e, Boulder, Colorado |
| Authorized Official Name and Position | Isha Lucas (DIRECTOR) |
| Authorized Official Contact | 4848885174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Wildflowers 1590 Eisenhower Dr Apt 208 Boulder CO 80303-1367 Ph: (484) 888-5174 | Cultivating Wildflowers 1650 38th St Ste 100e Boulder CO 80301-2624 Ph: (303) 335-0927 |
| NPI Number | 1992542658 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 7911446224 |
|---|---|
| Medicare Enrollment ID | O20240830001859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992542658 | NPI | - | NPPES |
| Provider Name | Isha Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144555632 PECOS PAC ID: 9739628041 Enrollment ID: I20240830001993 |
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