MEDICARE: REBECCA MORAVEC COUNSELING

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	103TP2701X	Group Psychotherapy Psychologist

General Provider Information

NPI Number	:	1871226332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA MORAVEC COUNSELING

Provider Business Mailing Address
First Line	:	1780 S BELLAIRE ST STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4326
Country	:	US
Telephone Number	:	720-767-9808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4326
Country	:	US
Telephone Number	:	720-767-9808
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. REBECCA MORAVEC
Credential	:	LPC, LMFT
Telephone Number	:	720-373-0799

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	07/01/2022

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