| Lilypad Therapy Llc | |
|
361 Simmons St Erie CO 80516-7201 | |
| (817) 996-5664 | |
| (817) 927-7578 |
| Full Name | Lilypad Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 361 Simmons St, Erie, Colorado |
| Authorized Official Name and Position | Janet M Brown (OWNER) |
| Authorized Official Contact | 8179965664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilypad Therapy Llc 361 Simmons St Erie CO 80516-7201 Ph: (817) 996-5664 | Lilypad Therapy Llc 361 Simmons St Erie CO 80516-7201 Ph: (817) 996-5664 |
| NPI Number | 1093524878 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 6800324138 |
|---|---|
| Medicare Enrollment ID | O20250214000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093524878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janet Mcnalley Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003864356 PECOS PAC ID: 7517970940 Enrollment ID: I20230905002289 |
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