| Adult Community Services, Llc | |
|
5390 N Academy Blvd Ste 200 Colorado Springs CO 80918-4064 | |
| (719) 428-6100 | |
| (719) 374-5907 |
| Full Name | Adult Community Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5390 N Academy Blvd Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christine Talbott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7194259133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Community Services, Llc 5390 N Academy Blvd Ste 200 Colorado Springs CO 80918-4064 Ph: (719) 428-6100 | Adult Community Services, Llc 5390 N Academy Blvd Ste 200 Colorado Springs CO 80918-4064 Ph: (719) 428-6100 |
| NPI Number | 1548890601 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 1759702103 |
|---|---|
| Medicare Enrollment ID | O20200610002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548890601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Holly Redlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801243985 PECOS PAC ID: 6901236140 Enrollment ID: I20200610003104 |
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