MEDICARE: FEEL TO HEAL PSYCHOTHERAPY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1255199493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEEL TO HEAL PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	5122 DITMARS LN
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-3532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5122 DITMARS LN
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-3532
Country	:	US
Telephone Number	:	719-725-9422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADEJDA LISENCU
Credential	:	LCSW
Telephone Number	:	719-725-9422

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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Directions to “FEEL TO HEAL PSYCHOTHERAPY ” Practice Location

Language	Start Address	Practice Location

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