MEDICARE: REIFF MENTAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1093489759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIFF MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	3095 WILSON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4945
Country	:	US
Telephone Number	:	720-695-2408
Fax Number	:	720-306-5467

Provider Business Practice Location Address
First Line	:	3095 WILSON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4945
Country	:	US
Telephone Number	:	720-695-2408
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	ERICA GAY REIFF
Credential	:	PMHNP-BC
Telephone Number	:	720-695-2408

Provider Enumeration Date	:	08/05/2021
Last Update Date	:	08/05/2021

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