| Sole Talk Therapy | |
| 
					198 South Tiden Street Nederland CO 80466  | |
| (435) 979-3564 | |
| (866) 757-5778 | 
| Full Name | Sole Talk Therapy | 
|---|---|
| Speciality | Social Worker | 
| Location | 198 South Tiden Street, Nederland, Colorado | 
| Authorized Official Name and Position | Zoe K Lewis (OWNER/MBR) | 
| Authorized Official Contact | 4359793564 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sole Talk Therapy Po Box 1045 Nederland CO 80466-1045 Ph: (435) 979-3564  | Sole Talk Therapy 198 South Tiden Street Nederland CO 80466 Ph: (435) 979-3564  | 
| NPI Number | 1306513205 | 
|---|---|
| Provider Enumeration Date | 08/27/2021 | 
| Last Update Date | 08/27/2021 | 
| Certification Date | 08/27/2021 | 
| Medicare PECOS PAC ID | 6305242561 | 
|---|---|
| Medicare Enrollment ID | O20211019000644 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306513205 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Zoe Katherine Lewis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1851735898 PECOS PAC ID: 6204254279 Enrollment ID: I20200909000095  | 
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