| Whole Connection Llc | |
|
100 Arapahoe Ave Ste 9 Boulder CO 80302-5854 | |
| (720) 316-7774 | |
| Not Available |
| Full Name | Whole Connection Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Arapahoe Ave Ste 9, Boulder, Colorado |
| Authorized Official Name and Position | Phillip Horner (LCSW) |
| Authorized Official Contact | 7203167774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Connection Llc 100 Arapahoe Ave Ste 12 Boulder CO 80302-5815 Ph: (720) 316-7774 | Whole Connection Llc 100 Arapahoe Ave Ste 9 Boulder CO 80302-5854 Ph: (720) 316-7774 |
| NPI Number | 1053868687 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 1557725074 |
|---|---|
| Medicare Enrollment ID | O20230915001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053868687 | NPI | - | NPPES |
| 870736 | Medicaid | CO |
| Provider Name | Phillip Channing Plemons Horner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003285719 PECOS PAC ID: 5698047595 Enrollment ID: I20230915002092 |
| Provider Name | Chloe Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437561966 PECOS PAC ID: 3476908070 Enrollment ID: I20240109003313 |
| Provider Name | Melody M Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467570135 PECOS PAC ID: 8224481882 Enrollment ID: I20240130003366 |
| Provider Name | Benjamin Morrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902545437 PECOS PAC ID: 5496295511 Enrollment ID: I20240904002007 |
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