| Your Brain Fit | |
|
1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 | |
| (720) 767-2286 | |
| Not Available |
| Full Name | Your Brain Fit |
|---|---|
| Speciality | Clinic/Center |
| Location | 1536 Cole Blvd Ste 205, Lakewood, Colorado |
| Authorized Official Name and Position | Tamera Watt (CEO) |
| Authorized Official Contact | 7044501447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Brain Fit 1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 Ph: (720) 767-2286 | Your Brain Fit 1536 Cole Blvd Ste 205 Lakewood CO 80401-3413 Ph: (720) 767-2286 |
| NPI Number | 1447910625 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 4880066075 |
|---|---|
| Medicare Enrollment ID | O20230216002459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447910625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Regina Leverrier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861557506 PECOS PAC ID: 0345232104 Enrollment ID: I20090902000036 |
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