| Vivify Therapy | |
|
3780 N Garfield Ave Ste 202 Loveland CO 80538-2237 | |
| (970) 408-0363 | |
| Not Available |
| Full Name | Vivify Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3780 N Garfield Ave Ste 202, Loveland, Colorado |
| Authorized Official Name and Position | Jennifer Nash (OWNER/PROVIDER) |
| Authorized Official Contact | 9704080363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivify Therapy 3534 Whisperwood Ct Johnstown CO 80534-2402 Ph: (315) 873-2936 | Vivify Therapy 3780 N Garfield Ave Ste 202 Loveland CO 80538-2237 Ph: (970) 408-0363 |
| NPI Number | 1598511586 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 2163964370 |
|---|---|
| Medicare Enrollment ID | O20240603004086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598511586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer N Nash |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225811706 PECOS PAC ID: 0648623975 Enrollment ID: I20240603004076 |
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