Stacy Smith, LPC | |
100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | |
(970) 389-6172 | |
Not Available |
Full Name | Stacy Smith |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 100 South Ridge Road, Breckenridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871898858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4227 (Colorado) | Primary |
Entity Name | Eagle Valley Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
Mailing Address | Practice Location Address |
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Stacy Smith, LPC Po Box 6423, Breckenridge, CO 80424-6423 Ph: (970) 389-6172 | Stacy Smith, LPC 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 Ph: (970) 389-6172 |
Andrew William Mikita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 Locals Lane, Breckenridge, CO 80424 Phone: 970-333-9622 | |
Melissa Gledhill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Sawmill Rd, Breckenridge, CO 80424 Phone: 970-368-0778 | |
Abigail Blacklock, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Sawmill Rd., Breckenridge, CO 80424 Phone: 970-368-2825 | |
Sierra Andrews, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Rd, Breckenridge, CO 80424 Phone: 970-528-6670 | |
Kellyn Glynn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N French St, Suite 201-1, Breckenridge, CO 80424 Phone: 720-722-1242 | |
Abigail Ferguson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 S Ridge St, Breckenridge, CO 80424 Phone: 970-331-2155 | |
Ruby Elizabeth Hornback, CAS, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 N Park Ave, Breckenridge, CO 80424 Phone: 970-423-8909 |