| Safe Harbours Counseling Pllc | |
|
12021 Pennsylvania St Ste 109a Thornton CO 80241-3151 | |
| (720) 842-2400 | |
| Not Available |
| Full Name | Safe Harbours Counseling Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12021 Pennsylvania St Ste 109a, Thornton, Colorado |
| Authorized Official Name and Position | Althea M Bakke-lysaker (OWNER) |
| Authorized Official Contact | 7208422400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbours Counseling Pllc 12021 Pennsylvania St Ste 109a Thornton CO 80241-3151 Ph: (720) 842-2400 | Safe Harbours Counseling Pllc 12021 Pennsylvania St Ste 109a Thornton CO 80241-3151 Ph: (720) 842-2400 |
| NPI Number | 1124899141 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8123462231 |
|---|---|
| Medicare Enrollment ID | O20240216001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124899141 | NPI | - | NPPES |
| MFT.0002278 | Other | CO | LICENSE NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Althea M Bakke-lysaker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154949311 PECOS PAC ID: 2769826874 Enrollment ID: I20240226000863 |
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