| Thornwoodwellnessllc | |
|
225 W S Boulder Rd Ste 103 Louisville CO 80027-1194 | |
| (720) 868-9641 | |
| Not Available |
| Full Name | Thornwoodwellnessllc |
|---|---|
| Speciality | Social Worker |
| Location | 225 W S Boulder Rd Ste 103, Louisville, Colorado |
| Authorized Official Name and Position | David Brunick (OWNER) |
| Authorized Official Contact | 7204704522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornwoodwellnessllc 225 W S Boulder Rd Ste 103 Louisville CO 80027-1194 Ph: (720) 868-9641 | Thornwoodwellnessllc 225 W S Boulder Rd Ste 103 Louisville CO 80027-1194 Ph: (720) 868-9641 |
| NPI Number | 1467153809 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 4284094137 |
|---|---|
| Medicare Enrollment ID | O20230724002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467153809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara Ruth Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518114198 PECOS PAC ID: 8426288572 Enrollment ID: I20140311001190 |
| Provider Name | Rebecca M Lane-ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578829511 PECOS PAC ID: 1153611876 Enrollment ID: I20160608000307 |
| Provider Name | Laura Jane Landis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619983269 PECOS PAC ID: 3779934526 Enrollment ID: I20240105003380 |
| Provider Name | Andres Johannes Reinhard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023789385 PECOS PAC ID: 0143671750 Enrollment ID: I20240109000215 |
| Provider Name | Kylie Marie Bovenzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467171140 PECOS PAC ID: 8426401290 Enrollment ID: I20240129000516 |
| Provider Name | Allison Oates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922865351 PECOS PAC ID: 1557703675 Enrollment ID: I20240521002765 |
| Provider Name | Lauren E Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598379638 PECOS PAC ID: 2860834470 Enrollment ID: I20240529000623 |
| Provider Name | Michael Allen Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265791339 PECOS PAC ID: 1153865936 Enrollment ID: I20240703002951 |
| Provider Name | Allyson Bishop Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932420569 PECOS PAC ID: 5597208363 Enrollment ID: I20240726000241 |
| Provider Name | Quenisha S Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093484370 PECOS PAC ID: 2062941628 Enrollment ID: I20250128000198 |
| Provider Name | Darci R. Polla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558513978 PECOS PAC ID: 4082147145 Enrollment ID: I20250129003340 |
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