| Liz Maher, Llc | |
|
6680 Gunpark Dr Boulder CO 80301-3349 | |
| (415) 513-9016 | |
| Not Available |
| Full Name | Liz Maher, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6680 Gunpark Dr, Boulder, Colorado |
| Authorized Official Name and Position | Elizabeth Maher (OWNER/LPC) |
| Authorized Official Contact | 4155139016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liz Maher, Llc 6680 Gunpark Dr Boulder CO 80301-3349 Ph: () - | Liz Maher, Llc 6680 Gunpark Dr Boulder CO 80301-3349 Ph: (415) 513-9016 |
| NPI Number | 1013799592 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 7911340179 |
|---|---|
| Medicare Enrollment ID | O20240205004245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013799592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Ann Maher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477019222 PECOS PAC ID: 8820431083 Enrollment ID: I20240205004275 |
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