Unharnessed Potential is a
Counselor - Professional based in Fountain, Colorado. Unharnessed Potential is licensed to practice in * (Not Available) (license number ) and their current practice location is
8655 Kane Rd, Fountain, Colorado. It can be reached at their office (for appointments etc.) via phone at
(913) 269-6120.
NPI number for Unharnessed Potential is 1912725961 and their current mailing address is 8655 Kane Rd, Fountain, Colorado. Unharnessed Potential
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912725961.
Healthcare Provider's Profile
| Full Name | Unharnessed Potential |
|---|
| Type | Facility |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 8655 Kane Rd, Fountain, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912725961
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Unharnessed Potential such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912725961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Unharnessed Potential is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Unharnessed Potential
8655 Kane Rd,
Fountain, CO 80817-3339
Ph: (913) 269-6120 | Unharnessed Potential
8655 Kane Rd,
Fountain, CO 80817-3339
Ph: (913) 269-6120 |
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