| Sarah Walgenbach, AA, CAC II | |
|
1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | |
| (719) 572-6100 | |
| Not Available |
| Full Name | Sarah Walgenbach |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1795 Jet Wing Dr, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659713832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACB-7621 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0016658 (Colorado) | Primary |
| Entity Name | Diversus Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Walgenbach, AA, CAC II 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 Ph: () - | Sarah Walgenbach, AA, CAC II 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 Ph: (719) 572-6100 |
Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130 | |
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342 | |
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300 | |
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 | |
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705 | |
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488 | |
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406 |