| Peace Of Mind 5280, Inc | |
|
187 E Kiowa Ave Elizabeth CO 80107-7452 | |
| (303) 418-4573 | |
| (303) 418-4573 |
| Full Name | Peace Of Mind 5280, Inc |
|---|---|
| Speciality | Counselor |
| Location | 187 E Kiowa Ave, Elizabeth, Colorado |
| Authorized Official Name and Position | Sara A Short (CEO/FOUNDER) |
| Authorized Official Contact | 3032859572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind 5280, Inc 44921 Overland Trl Elizabeth CO 80107-9324 Ph: (303) 524-4427 | Peace Of Mind 5280, Inc 187 E Kiowa Ave Elizabeth CO 80107-7452 Ph: (303) 418-4573 |
| NPI Number | 1073378733 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 0941738074 |
|---|---|
| Medicare Enrollment ID | O20250116002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073378733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Mcdermott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881450898 PECOS PAC ID: 6507394640 Enrollment ID: I20250116002768 |
| Provider Name | Elizabeth E Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407663040 PECOS PAC ID: 5294264677 Enrollment ID: I20250130000720 |
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