| Rebel Health Llc | |
|
200 W County Line Rd Ste 250 Highlands Ranch CO 80129-2342 | |
| (303) 946-7683 | |
| Not Available |
| Full Name | Rebel Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 W County Line Rd Ste 250, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Joel Rieck (CEO) |
| Authorized Official Contact | 3039467683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Health Llc 10189 Quarry Hill Pl Parker CO 80134-3748 Ph: () - | Rebel Health Llc 200 W County Line Rd Ste 250 Highlands Ranch CO 80129-2342 Ph: (303) 946-7683 |
| NPI Number | 1396478053 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Medicare PECOS PAC ID | 7416499041 |
|---|---|
| Medicare Enrollment ID | O20240611000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396478053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cecelia Guerrie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225792062 PECOS PAC ID: 0749723252 Enrollment ID: I20240625000538 |
| Provider Name | Elizabeth Dowdell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043555980 PECOS PAC ID: 0749725513 Enrollment ID: I20240716004982 |
| Provider Name | Ciana Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861102253 PECOS PAC ID: 3173058393 Enrollment ID: I20241126000018 |
| Provider Name | Hannah Popkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992577506 PECOS PAC ID: 7214462142 Enrollment ID: I20241202000368 |
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