| Silver Mountain Psychotherapy, Llc | |
| 
					3967 County Road 116 Hesperus CO 81326-9482  | |
| (646) 772-8283 | |
| Not Available | 
| Full Name | Silver Mountain Psychotherapy, Llc | 
|---|---|
| Speciality | Social Worker | 
| Location | 3967 County Road 116, Hesperus, Colorado | 
| Authorized Official Name and Position | Anthony Braun (OWNER) | 
| Authorized Official Contact | 6467728283 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Silver Mountain Psychotherapy, Llc 3967 County Road 116 Hesperus CO 81326-9482 Ph: (646) 772-8283  | Silver Mountain Psychotherapy, Llc 3967 County Road 116 Hesperus CO 81326-9482 Ph: (646) 772-8283  | 
| NPI Number | 1912588336 | 
|---|---|
| Provider Enumeration Date | 04/16/2021 | 
| Last Update Date | 06/28/2021 | 
| Certification Date | 06/28/2021 | 
| Medicare PECOS PAC ID | 4183024797 | 
|---|---|
| Medicare Enrollment ID | O20210617002335 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912588336 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Anthony Braun | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1285182212 PECOS PAC ID: 4587094347 Enrollment ID: I20200417001711  | 
| Provider Name | Julia Dengel | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326411422 PECOS PAC ID: 7618371626 Enrollment ID: I20210812000144  | 
Worthy Hearts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9588 County Road 141, Hesperus, CO 81326 Phone: 970-759-8040  |