Achieve Wellness Counseling And Consulting, Llc | |
9362 Grand Cordera Parkway Ste 170 Colorado Springs CO 80924 | |
(719) 627-3233 | |
Not Available |
Full Name | Achieve Wellness Counseling And Consulting, Llc |
---|---|
Speciality | Social Worker |
Location | 9362 Grand Cordera Parkway Ste 170, Colorado Springs, Colorado |
Authorized Official Name and Position | Jennifer T Basler (PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7196273233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Achieve Wellness Counseling And Consulting, Llc 9362 Grand Cordera Parkway Ste 170 Colorado Springs CO 80924 Ph: (719) 627-3233 | Achieve Wellness Counseling And Consulting, Llc 9362 Grand Cordera Parkway Ste 170 Colorado Springs CO 80924 Ph: (719) 627-3233 |
NPI Number | 1720603475 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 01/31/2021 |
Certification Date | 01/31/2021 |
Medicare PECOS PAC ID | 6103249867 |
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Medicare Enrollment ID | O20200714001054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720603475 | NPI | - | NPPES |
1689299315 | Other | NPPES | |
CSW.00001092 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES (DORA) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer T Basler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689299315 PECOS PAC ID: 7911320676 Enrollment ID: I20200714001187 |
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