| Wholehearted Connection, Llc | |
|
313 S 5th St Ste 2 Lamar CO 81052-2755 | |
| (877) 525-1416 | |
| Not Available |
| Full Name | Wholehearted Connection, Llc |
|---|---|
| Speciality | Counselor |
| Location | 313 S 5th St Ste 2, Lamar, Colorado |
| Authorized Official Name and Position | Briann C Appel (OWNER) |
| Authorized Official Contact | 8775251416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Connection, Llc 313 S 5th St Ste 2 Lamar CO 81052-2755 Ph: (877) 525-1416 | Wholehearted Connection, Llc 313 S 5th St Ste 2 Lamar CO 81052-2755 Ph: (877) 525-1416 |
| NPI Number | 1023704160 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 6305367749 |
|---|---|
| Medicare Enrollment ID | O20250303000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023704160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Briann Cruz Appel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033558804 PECOS PAC ID: 8022539469 Enrollment ID: I20250303000449 |
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