| Nora Noco Llc | |
|
12517 Shore View Dr Longmont CO 80504-8214 | |
| (720) 261-7210 | |
| (303) 784-6107 |
| Full Name | Nora Noco Llc |
|---|---|
| Speciality | Counselor |
| Location | 12517 Shore View Dr, Longmont, Colorado |
| Authorized Official Name and Position | Randon Givens (OWNER) |
| Authorized Official Contact | 5059137140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nora Noco Llc 12517 Shore View Dr Longmont CO 80504-8214 Ph: (720) 261-7210 | Nora Noco Llc 12517 Shore View Dr Longmont CO 80504-8214 Ph: (720) 261-7210 |
| NPI Number | 1417739673 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 2961942313 |
|---|---|
| Medicare Enrollment ID | O20240911004259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417739673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Robert P Givens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376566737 PECOS PAC ID: 2668912023 Enrollment ID: I20240911004329 |
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