| Integrative Mind & Body Wellness Llc | |
|
801 S Perry St Ste 115 Castle Rock CO 80104-1986 | |
| (970) 219-9089 | |
| Not Available |
| Full Name | Integrative Mind & Body Wellness Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 801 S Perry St Ste 115, Castle Rock, Colorado |
| Authorized Official Name and Position | Dustin M Holcomb (OWNER) |
| Authorized Official Contact | 9702199089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Mind & Body Wellness Llc 801 S Perry St Ste 115 Castle Rock CO 80104-1986 Ph: (970) 219-9089 | Integrative Mind & Body Wellness Llc 801 S Perry St Ste 115 Castle Rock CO 80104-1986 Ph: (970) 219-9089 |
| NPI Number | 1942002340 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 3971012758 |
|---|---|
| Medicare Enrollment ID | O20250603002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942002340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Holcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356586721 PECOS PAC ID: 4789193566 Enrollment ID: I20250604000049 |
| Provider Name | Jennifer Holcomb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356586721 PECOS PAC ID: 4789193566 Enrollment ID: I20250604000293 |
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