| Stacy Reuille-dupont, Llc | |
|
1305 Escalante Dr # 203 Durango CO 81303-8931 | |
| (970) 749-8227 | |
| Not Available |
| Full Name | Stacy Reuille-dupont, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1305 Escalante Dr # 203, Durango, Colorado |
| Authorized Official Name and Position | Stacy Ann Reuille-dupont (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9707498227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Reuille-dupont, Llc 1305 Escalante Dr # 203 Durango CO 81303-8931 Ph: (970) 749-8227 | Stacy Reuille-dupont, Llc 1305 Escalante Dr # 203 Durango CO 81303-8931 Ph: (970) 749-8227 |
| NPI Number | 1740777507 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Medicare PECOS PAC ID | 9234485517 |
|---|---|
| Medicare Enrollment ID | O20180628000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740777507 | NPI | - | NPPES |
| 49670379 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4577 (Colorado) | Primary |
| Provider Name | Joanna Beth Dominick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174788145 PECOS PAC ID: 9436205077 Enrollment ID: I20090923000073 |
| Provider Name | Stacy A Reuille- Dupont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851628713 PECOS PAC ID: 8224313325 Enrollment ID: I20170331000513 |
| Provider Name | Sarah K Alsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154104 PECOS PAC ID: 4385918143 Enrollment ID: I20170919000602 |
| Provider Name | Aaron Belson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528688991 PECOS PAC ID: 1658784384 Enrollment ID: I20210208000890 |
Twin Dreams Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Cherry Gulch Rd, Durango, CO 81301 Phone: 970-946-0992 | |
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 | |
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 | |
Terry Tyler Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2243 Main Ave, Suite 3a, Durango, CO 81301 Phone: 970-375-6224 Fax: 970-259-2341 |