| Joshua Center Colorado, Llc | |
|
409 Main St Ste 220g Frisco CO 80443-5929 | |
| (970) 389-8691 | |
| Not Available |
| Full Name | Joshua Center Colorado, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 Main St Ste 220g, Frisco, Colorado |
| Authorized Official Name and Position | Danielle Heyne (OWNER, PROVIDER) |
| Authorized Official Contact | 9703898691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Center Colorado, Llc Po Box 1831 Frisco CO 80443-1831 Ph: (970) 389-8691 | Joshua Center Colorado, Llc 409 Main St Ste 220g Frisco CO 80443-5929 Ph: (970) 389-8691 |
| NPI Number | 1760210124 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 2062946999 |
|---|---|
| Medicare Enrollment ID | O20241114000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760210124 | NPI | - | NPPES |
| Provider Name | Danielle Lynn Wood Heyne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609197771 PECOS PAC ID: 3971037805 Enrollment ID: I20241114001052 |
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