| Healingquest Llp | |
|
3434 47th St Suite 130 Boulder CO 80301-1880 | |
| (303) 225-2708 | |
| Not Available |
| Full Name | Healingquest Llp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3434 47th St, Boulder, Colorado |
| Authorized Official Name and Position | Andrew Newkirk Rose (DIRECTOR) |
| Authorized Official Contact | 3032252708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healingquest Llp 3434 47th St Suite 130 Boulder CO 80301-1880 Ph: (303) 225-2708 | Healingquest Llp 3434 47th St Suite 130 Boulder CO 80301-1880 Ph: (303) 225-2708 |
| NPI Number | 1134524275 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 3072956887 |
|---|---|
| Medicare Enrollment ID | O20240208003100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134524275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11337 (Colorado) | Primary |
| Provider Name | Andrew Newkirk Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053658930 PECOS PAC ID: 4981047792 Enrollment ID: I20240208003224 |
| Provider Name | Yukit Tse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346999612 PECOS PAC ID: 1850735283 Enrollment ID: I20240214000298 |
| Provider Name | Erica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003203019 PECOS PAC ID: 3678913241 Enrollment ID: I20240430001047 |
| Provider Name | Alec Farbman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417558107 PECOS PAC ID: 7517307051 Enrollment ID: I20240430003881 |
| Provider Name | Elizabeth Driscoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508255282 PECOS PAC ID: 7214378959 Enrollment ID: I20240513003548 |
| Provider Name | Alex Artio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174121347 PECOS PAC ID: 6103267752 Enrollment ID: I20240514000810 |
| Provider Name | Riese Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992303911 PECOS PAC ID: 8527400613 Enrollment ID: I20240521001557 |
| Provider Name | Rachel Christine Cheatle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821696972 PECOS PAC ID: 2769927771 Enrollment ID: I20240715002368 |
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