Charlotte Mulloy, LPC | |
1781 Southard St, Erie, CO 80516-7500 | |
(704) 649-2317 | |
Not Available |
Full Name | Charlotte Mulloy |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1781 Southard St, Erie, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518619006 | NPI | - | NPPES |
9000234849 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0017781 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | LPC.0017781 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Charlotte Mulloy, LPC 1781 Southard St, Erie, CO 80516-7500 Ph: (720) 526-3556 | Charlotte Mulloy, LPC 1781 Southard St, Erie, CO 80516-7500 Ph: (704) 649-2317 |
Kimberly Dawn Maggio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1821 Marlowe Cir E, Erie, CO 80516 Phone: 720-940-6501 | |
Chelsie J Lawson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Erie Pkwy, Erie, CO 80516 Phone: 303-415-7470 | |
Aubrie Tarantino, MA, NLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 Briggs St, Erie, CO 80516 Phone: 303-332-1156 | |
Jennifer E Fischer, MA, LPC, CACI Counselor Medicare: Medicare Enrolled Practice Location: 3336 Arapahoe Rd, Unit B #239, Erie, CO 80516 Phone: 720-724-8214 | |
William Mark Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Westin Dr, Erie, CO 80516 Phone: 303-931-7888 | |
Dr. John Steven Lybarger, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1923 Windemere Ln, Erie, CO 80516 Phone: 303-601-9732 | |
Emily Mckay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Montgomery Dr, Erie, CO 80516 Phone: 720-318-5453 |