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NPI Code Detail

MEDICARE: RESH LCSW LLC

MEDICARE: RESH LCSW 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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11477065985OTHERCONPI-1

General Provider Information

NPI Number : 1639804511
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESH LCSW LLC
Provider Business Mailing Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number : 970-829-1128
Fax Number :
Provider Business Practice Location Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number : 970-829-1128
Fax Number :
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MS. REBECCA HOKE
Credential : LCSW
Telephone Number : 907-829-1128
Provider Enumeration Date : 07/23/2022
Last Update Date : 07/09/2024

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Directions to “RESH LCSW LLC ” Practice Location

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