| The Parent-child Interaction Center Llc | |
|
375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 | |
| (970) 472-1207 | |
| (970) 493-1305 |
| Full Name | The Parent-child Interaction Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 375 E Horsetooth Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Sarah Therese Carlson (OWNER/THERAPIST) |
| Authorized Official Contact | 9704721207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parent-child Interaction Center Llc 375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 Ph: (970) 472-1207 | The Parent-child Interaction Center Llc 375 E Horsetooth Rd Bldg 3 Suite 101 Fort Collins CO 80525-3155 Ph: (970) 472-1207 |
| NPI Number | 1306090758 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 05/31/2016 |
| Medicare PECOS PAC ID | 3274078019 |
|---|---|
| Medicare Enrollment ID | O20240716003689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306090758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4838 (Colorado) | Secondary |
| 106H00000X | Marriage & Family Therapist | 806 (Colorado) | Primary |
| Provider Name | Rebecca Arbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578010906 PECOS PAC ID: 7719422559 Enrollment ID: I20240716004002 |
| Provider Name | Chelsea Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487160529 PECOS PAC ID: 9830638980 Enrollment ID: I20240903003014 |
| Provider Name | Heather Colleen Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720800816 PECOS PAC ID: 2668900986 Enrollment ID: I20250114001052 |
| Provider Name | Brittany Leigh Pivik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063891802 PECOS PAC ID: 5799214037 Enrollment ID: I20250130003621 |
| Provider Name | Tomi Castillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730746512 PECOS PAC ID: 2769911056 Enrollment ID: I20250131001205 |
| Provider Name | Daniel Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417222134 PECOS PAC ID: 8628513462 Enrollment ID: I20250318002726 |
| Provider Name | Kaylee Rom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053040527 PECOS PAC ID: 0244759231 Enrollment ID: I20250522001463 |
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