| Lisa Randolph, MSC, MFT | |
|
7121 Grand Prairie Dr, Colorado Springs, CO 80923-8763 | |
| (719) 229-5597 | |
| Not Available |
| Full Name | Lisa Randolph |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 7121 Grand Prairie 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 |
|---|---|---|---|
| 1336538123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 14068 (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 |
|---|---|
| Lisa Randolph, MSC, MFT 7121 Grand Prairie Dr, Colorado Springs, CO 80923-8763 Ph: (719) 229-5597 | Lisa Randolph, MSC, MFT 7121 Grand Prairie Dr, Colorado Springs, CO 80923-8763 Ph: (719) 229-5597 |
Danielle L Demaria, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1322 N Academy Blvd, Ste. 202, Colorado Springs, CO 80909 Phone: 719-428-8939 Fax: 719-218-9001 | |
Sherri R Peach, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 Lakewood Cir, Ste. 110h, Colorado Springs, CO 80910 Phone: 719-597-6457 | |
Mr. Randal Lynn Thomas, MSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4440 Barnes Rd, Colorado Springs, CO 80917 Phone: 719-345-2424 | |
James L Bixler, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3110 Boychuck Ave, Colorado Springs, CO 80910 Phone: 719-210-9744 Fax: 888-619-0027 | |
Nicole Bieri, MFTC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3011 Grandview St, Colorado Springs, CO 80907 Phone: 719-649-7871 | |
Mrs. Linda Meyer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 N Wahsatch Ave, Suite 204, Colorado Springs, CO 80903 Phone: 719-636-2636 | |
Mrs. Lisa M Runzo, MA, LPC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5360 N Academy Blvd, Suite 130, Colorado Springs, CO 80918 Phone: 719-227-7477 Fax: 719-227-7474 |