| Glacier Lily Therapy Llc | |
|
2625 Redwing Rd Ste 230 Fort Collins CO 80526-2804 | |
| (970) 620-8188 | |
| Not Available |
| Full Name | Glacier Lily Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2625 Redwing Rd Ste 230, Fort Collins, Colorado |
| Authorized Official Name and Position | Lia Wolfe (OWNER) |
| Authorized Official Contact | 9706208188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacier Lily Therapy Llc 1936 Derby Ct Fort Collins CO 80526-2330 Ph: () - | Glacier Lily Therapy Llc 2625 Redwing Rd Ste 230 Fort Collins CO 80526-2804 Ph: (970) 620-8188 |
| NPI Number | 1487476438 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 6103349105 |
|---|---|
| Medicare Enrollment ID | O20250331003138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487476438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lia Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699508911 PECOS PAC ID: 7911420914 Enrollment ID: I20250331003162 |
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