| Magic Pebble Collaborative Pllc | |
|
2401 S Downing St Denver CO 80210-5811 | |
| (802) 216-0390 | |
| (802) 357-5151 |
| Full Name | Magic Pebble Collaborative Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2401 S Downing St, Denver, Colorado |
| Authorized Official Name and Position | Allison E Hansen (FOUNDER & THERAPIST) |
| Authorized Official Contact | 8022160390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Pebble Collaborative Pllc 2401 S Downing St Denver CO 80210-5811 Ph: (802) 216-0390 | Magic Pebble Collaborative Pllc 2401 S Downing St Denver CO 80210-5811 Ph: (802) 216-0390 |
| NPI Number | 1801567797 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Medicare PECOS PAC ID | 9739522517 |
|---|---|
| Medicare Enrollment ID | O20240208002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801567797 | NPI | - | NPPES |
| 6704489 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison E Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396127957 PECOS PAC ID: 0446507974 Enrollment ID: I20180716001037 |
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