| Mh Super Systems Llc | |
|
3570 E 12th Ave Ste 314 Denver CO 80206-3454 | |
| (720) 666-5678 | |
| Not Available |
| Full Name | Mh Super Systems Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3570 E 12th Ave Ste 314, Denver, Colorado |
| Authorized Official Name and Position | Jason Rogers (SOLE OWNER) |
| Authorized Official Contact | 7206665678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mh Super Systems Llc 3570 E 12th Ave Ste 314 Denver CO 80206-3454 Ph: (720) 666-5678 | Mh Super Systems Llc 3570 E 12th Ave Ste 314 Denver CO 80206-3454 Ph: (720) 666-5678 |
| NPI Number | 1396576229 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 2860925559 |
|---|---|
| Medicare Enrollment ID | O20241104000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396576229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jason Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609029198 PECOS PAC ID: 7810309846 Enrollment ID: I20241104000137 |
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