| Psychotherapy And Care Management On The Go, Llc | |
|
12954 W Iliff Ave Lakewood CO 80228-4336 | |
| (303) 204-6635 | |
| (303) 504-6410 |
| Full Name | Psychotherapy And Care Management On The Go, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12954 W Iliff Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Leann Grace Hansen (OWNER) |
| Authorized Official Contact | 3032046635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy And Care Management On The Go, Llc 12954 W Iliff Ave Lakewood CO 80228-4336 Ph: (303) 204-6635 | Psychotherapy And Care Management On The Go, Llc 12954 W Iliff Ave Lakewood CO 80228-4336 Ph: (303) 204-6635 |
| NPI Number | 1689823668 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 09/25/2008 |
| Medicare PECOS PAC ID | 5496822819 |
|---|---|
| Medicare Enrollment ID | O20080925000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689823668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992558 (Colorado) | Primary |
| Provider Name | Leann G Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871756478 PECOS PAC ID: 6103875125 Enrollment ID: I20050118000216 |
| Provider Name | Ellie R Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003298159 PECOS PAC ID: 7315321676 Enrollment ID: I20220906001103 |
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