| Mountain Air Counseling And Grief Therapy Llc | |
|
8010 S County Road 5 Unit 103 Windsor CO 80528-9004 | |
| (307) 331-2862 | |
| Not Available |
| Full Name | Mountain Air Counseling And Grief Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8010 S County Road 5 Unit 103, Windsor, Colorado |
| Authorized Official Name and Position | Shannon Harris (OWNER) |
| Authorized Official Contact | 3073312862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Air Counseling And Grief Therapy Llc 5095 Georgetown Dr Loveland CO 80538-6808 Ph: (307) 331-2862 | Mountain Air Counseling And Grief Therapy Llc 8010 S County Road 5 Unit 103 Windsor CO 80528-9004 Ph: (307) 331-2862 |
| NPI Number | 1457070039 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Medicare PECOS PAC ID | 0648630848 |
|---|---|
| Medicare Enrollment ID | O20230719004109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457070039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Shannon L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841774502 PECOS PAC ID: 0648523548 Enrollment ID: I20181023001163 |
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