| Valtina, Llc | |
|
7405 W Us Highway 50 Ste 105 Salida CO 81201-9354 | |
| (719) 257-3033 | |
| Not Available |
| Full Name | Valtina, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7405 W Us Highway 50 Ste 105, Salida, Colorado |
| Authorized Official Name and Position | Renee Duricy (CO-OWNER/THERAPIST) |
| Authorized Official Contact | 7192573033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valtina, Llc 9150 County Road 240 Salida CO 81201-9216 Ph: (719) 257-3033 | Valtina, Llc 7405 W Us Highway 50 Ste 105 Salida CO 81201-9354 Ph: (719) 257-3033 |
| NPI Number | 1043831886 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Medicare PECOS PAC ID | 2668893058 |
|---|---|
| Medicare Enrollment ID | O20200611001462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043831886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Renee Eileen Duricy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982718581 PECOS PAC ID: 1153681333 Enrollment ID: I20200611001733 |
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