| Shine Fitness Llc | |
|
3035 W 25th Ave Denver CO 80211-4635 | |
| (303) 455-2409 | |
| Not Available |
| Full Name | Shine Fitness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3035 W 25th Ave, Denver, Colorado |
| Authorized Official Name and Position | Elizabeth Clark (OWNER) |
| Authorized Official Contact | 30345524019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Fitness Llc 2820 Wolff St Denver CO 80212-1521 Ph: (303) 455-2409 | Shine Fitness Llc 3035 W 25th Ave Denver CO 80211-4635 Ph: (303) 455-2409 |
| NPI Number | 1639553944 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 8527364652 |
|---|---|
| Medicare Enrollment ID | O20160315002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639553944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992361 (Colorado) | Primary |
| Provider Name | Elizabeth A Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083098842 PECOS PAC ID: 2668778796 Enrollment ID: I20160315002568 |
Clinical Psychologist Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Madison St, Suite 402, Denver, CO 80206 Phone: 720-272-0565 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Alis Behavioral Health Of Colorado Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222 Phone: 888-528-3860 | |
Bonnie Brae Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N Grant St Ste C, Denver, CO 80203 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 | |
Magnolia Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 N Lafayette St Ste 104, Denver, CO 80218 Phone: 303-209-5115 |