Magic Pebble Collaborative Pllc

LBN: Magic Pebble Collaborative Pllc
Magic Pebble Collaborative Pllc is an health care organization with primary practice located at 6200 S Syracuse Way Ste 260 , Greenwood Village CO 80111-4739. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Magic Pebble Collaborative Pllc can be contacted via phone (802) 216-0390, or through Hansen, Allison E via phone (802) 216-0390.

Contact Information

Primary practice address
6200 S Syracuse Way Ste 260 Greenwood Village CO 80111-4739
Phone: (802) 216-0390
Fax: (802) 357-5151
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Allison E MSW, LICSW, LCSW
Phone: (802) 216-0390

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801567797
LBN Legal business name Magic Pebble Collaborative Pllc
DBA Doing business as
Authorized official Hansen, Allison E MSW, LICSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2021
Last updated Sep 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801567797 NPPES
Vermont MEDICAID 6704489

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