| Serenity Mountain Therapy Llc | |
|
2243 Main Ave Durango CO 81301-4699 | |
| (720) 383-4886 | |
| Not Available |
| Full Name | Serenity Mountain Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2243 Main Ave, Durango, Colorado |
| Authorized Official Name and Position | Haley Wiedenman (OWNER) |
| Authorized Official Contact | 7204800710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Mountain Therapy Llc 620 Sierra Dr Durango CO 81301-8319 Ph: (720) 480-0710 | Serenity Mountain Therapy Llc 2243 Main Ave Durango CO 81301-4699 Ph: (720) 383-4886 |
| NPI Number | 1972326288 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 1759810815 |
|---|---|
| Medicare Enrollment ID | O20250120000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972326288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Haley Lucille Wiedenman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073278875 PECOS PAC ID: 5890233035 Enrollment ID: I20240819002480 |
Spark Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 363 Valle Escondido Dr, Durango, CO 81303 Phone: 970-905-5071 | |
Janet M Wolf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Florida Rd Unit 11, Durango, CO 81301 Phone: 970-769-1967 | |
Lindsay Stonecash-bauer Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2530 Colorado Ave Unit 2a, Durango, CO 81301 Phone: 970-946-8002 | |
D E Schenk Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W 14th Street, Durango, CO 87301 Phone: 970-385-7933 Fax: 970-385-7933 | |
Jjlpcounselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 Delwood Ave, Durango, CO 81301 Phone: 970-946-3709 | |
Tory Smith, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 857 1/2 E 5th Ave, Durango, CO 81301 Phone: 970-501-5650 | |
Lisa Turcott-gutt Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 County Road 250 Unit 8, Durango, CO 81301 Phone: 970-426-8300 |