Ardor Odyssey Llc | |
80 Garden Ctr Ste 40 Broomfield CO 80020-1777 | |
(303) 335-0151 | |
Not Available |
Full Name | Ardor Odyssey Llc |
---|---|
Speciality | Counselor - Professional |
Location | 80 Garden Ctr Ste 40, Broomfield, Colorado |
Authorized Official Name and Position | Melinda Bergeman (OWNER) |
Authorized Official Contact | 3033350151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ardor Odyssey Llc Po Box 24559 Denver CO 80224-0559 Ph: () - | Ardor Odyssey Llc 80 Garden Ctr Ste 40 Broomfield CO 80020-1777 Ph: (303) 335-0151 |
NPI Number | 1023741691 |
---|---|
Provider Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |
Certification Date | 07/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023741691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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