OrganizationMagic Pebble Collaborative PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739(802) 216-0390PECOS EnrollmentBased on the most recent information from CMS, provider Magic Pebble Collaborative Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801567797Provider TypeOrganizationFull NameMagic Pebble Collaborative PllcSubpartNoEnumeration Date9/21/2021Last Updated9/6/2023Contact InformationPractice LocationPractice Address6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739Phone(802) 216-0390Fax(802) 357-5151Mailing LocationMailing Address6200 S Syracuse Way Ste 260, Greenwood Village, CO 80111-4739Phone(802) 216-0390Fax(802) 357-5151Authorized OfficialNameHansen, Allison E (Founder & Therapist)Phone(802) 216-0390Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID6704489DescriptionMedicaidIssuerUnlistedVermont