| Deep Roots Behavioral Health Co | |
|
13 Buckskin Cir New Castle CO 81647-9493 | |
| (952) 769-7400 | |
| Not Available |
| Full Name | Deep Roots Behavioral Health Co |
|---|---|
| Speciality | Counselor |
| Location | 13 Buckskin Cir, New Castle, Colorado |
| Authorized Official Name and Position | Tasha Rischmiller (OWNER) |
| Authorized Official Contact | 9527697400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Roots Behavioral Health Co 13 Buckskin Cir New Castle CO 81647-9493 Ph: (952) 769-7400 | Deep Roots Behavioral Health Co 13 Buckskin Cir New Castle CO 81647-9493 Ph: (952) 769-7400 |
| NPI Number | 1275256356 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 0244670826 |
|---|---|
| Medicare Enrollment ID | O20240430001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275256356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tasha Jean Rischmiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346905056 PECOS PAC ID: 2062852643 Enrollment ID: I20240430001360 |
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