| New Growth Therapy Llc | |
|
491 W Spring Street Nederland CO 80466 | |
| (720) 282-1727 | |
| (866) 757-5778 |
| Full Name | New Growth Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 491 W Spring Street, Nederland, Colorado |
| Authorized Official Name and Position | Camilla F Dye (OWNER/MBR) |
| Authorized Official Contact | 7202821727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Growth Therapy Llc 350 East Street #56 Nederland CO 80466-0056 Ph: (720) 282-1727 | New Growth Therapy Llc 491 W Spring Street Nederland CO 80466 Ph: (720) 282-1727 |
| NPI Number | 1871118117 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 09/13/2023 |
| Certification Date | 06/12/2020 |
| Medicare PECOS PAC ID | 1153857503 |
|---|---|
| Medicare Enrollment ID | O20241209001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871118117 | NPI | - | NPPES |
| 9000183797 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Camilla F Dye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790305712 PECOS PAC ID: 1850827205 Enrollment ID: I20241209001534 |
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