Amanda Horak, LPC | |
6551 S Revere Pkwy Ste 160, Centennial, CO 80111-6469 | |
(720) 735-7444 | |
Not Available |
Full Name | Amanda Horak |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6551 S Revere Pkwy Ste 160, Centennial, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871835801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0012601 (Colorado) | Primary |
Entity Name | Original Path Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578064994 PECOS PAC ID: 1557709839 Enrollment ID: O20240405000164 |
Mailing Address | Practice Location Address |
---|---|
Amanda Horak, LPC 6551 S Revere Pkwy Ste 160, Centennial, CO 80111-6469 Ph: (720) 735-7444 | Amanda Horak, LPC 6551 S Revere Pkwy Ste 160, Centennial, CO 80111-6469 Ph: (720) 735-7444 |
Patricia Gallegos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8115 S Ogden St, Centennial, CO 80122 Phone: 303-587-8115 | |
Mrs. Diane Jennette Strouse, LPC, NCC, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7200 S Alton Way, Ste A290, Centennial, CO 80112 Phone: 720-593-1715 Fax: 866-326-1303 | |
Susan Kaye Deboer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6075 S Quebec St, Suite 202, Centennial, CO 80111 Phone: 303-489-7915 | |
Jonathan Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7173 S Havana St Ste 100, Centennial, CO 80112 Phone: 720-314-8031 | |
Ameerah Amy Kais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4961 S Ensenada Way, Centennial, CO 80015 Phone: 720-460-8410 | |
William Herbert Friesen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12835 E Arapahoe Rd Ph Floor, Centennial, CO 80112 Phone: 701-729-2280 | |
Ryan Hambley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6464 S Quebec St Ste 300, Centennial, CO 80111 Phone: 401-375-0303 |