| The Doorway Llc | |
|
1770 25th Ave Ste 204 Greeley CO 80634-4949 | |
| (970) 567-7347 | |
| Not Available |
| Full Name | The Doorway Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1770 25th Ave Ste 204, Greeley, Colorado |
| Authorized Official Name and Position | Dawn Kimberly O'keefe (PMHNP-BC/OWNER) |
| Authorized Official Contact | 3037259999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doorway Llc 4610 Pendleton Ave Evans CO 80634-9167 Ph: (303) 725-9999 | The Doorway Llc 1770 25th Ave Ste 204 Greeley CO 80634-4949 Ph: (970) 567-7347 |
| NPI Number | 1841024999 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 1153852926 |
|---|---|
| Medicare Enrollment ID | O20241003002337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841024999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dawn O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477022135 PECOS PAC ID: 3870835713 Enrollment ID: I20220221000201 |
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