| Resh Lcsw Llc | |
|
3555 Stanford Rd Ste 140 Fort Collins CO 80525-4680 | |
| (970) 829-1128 | |
| Not Available |
| Full Name | Resh Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3555 Stanford Rd Ste 140, Fort Collins, Colorado |
| Authorized Official Name and Position | Rebecca Hoke (OWNER/DIRECTOR) |
| Authorized Official Contact | 9078291128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resh Lcsw Llc 3555 Stanford Rd Ste 140 Fort Collins CO 80525-4680 Ph: (970) 829-1128 | Resh Lcsw Llc 3555 Stanford Rd Ste 140 Fort Collins CO 80525-4680 Ph: (970) 829-1128 |
| NPI Number | 1639804511 |
|---|---|
| Provider Enumeration Date | 07/23/2022 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Medicare PECOS PAC ID | 3678945961 |
|---|---|
| Medicare Enrollment ID | O20230215000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639804511 | NPI | - | NPPES |
| 1477065985 | Other | CO | NPI-1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Hoke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477065985 PECOS PAC ID: 4688060171 Enrollment ID: I20220411000003 |
| Provider Name | Jamie S Mctighe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689309650 PECOS PAC ID: 9931635950 Enrollment ID: I20241212004526 |
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