| Ivy Psychotherapies Llc | |
|
580 Pershing St Suite 1 Craig CO 81625-3053 | |
| (917) 730-7789 | |
| (970) 367-1499 |
| Full Name | Ivy Psychotherapies Llc |
|---|---|
| Speciality | Social Worker |
| Location | 580 Pershing St, Craig, Colorado |
| Authorized Official Name and Position | Elisa H Alvim-told (OWNER) |
| Authorized Official Contact | 9177307789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Psychotherapies Llc 2340 W 1620 N Circle St George UT 84770-5313 Ph: (917) 730-7789 | Ivy Psychotherapies Llc 580 Pershing St Suite 1 Craig CO 81625-3053 Ph: (917) 730-7789 |
| NPI Number | 1295213171 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/02/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 5597290353 |
|---|---|
| Medicare Enrollment ID | O20241203001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295213171 | NPI | - | NPPES |
| 52720586 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9923637 (Colorado) | Primary |
| Provider Name | Elisa H Alvim-told |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639587397 PECOS PAC ID: 7315267051 Enrollment ID: I20150521000299 |
Karla Persichitte Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 W Victory Way Ste 207, Craig, CO 81625 Phone: 970-445-4249 | |
Wendy Nadolny, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 563 Pershing St, Craig, CO 81625 Phone: 970-846-0492 | |
Poudre Valley Medical Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Russell St, Craig, CO 81625 Phone: 970-824-1020 Fax: 970-824-5300 | |
Colorado West Regional Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Breeze St, Craig, CO 81625 Phone: 970-824-6541 | |
Colorado West Regional Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Breeze St, Craig, CO 81625 Phone: 970-824-6541 | |
Colorado West Regional Mental Health Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Breeze St Ste 200, Craig, CO 81625 Phone: 970-241-6023 |