| Ark Valley Counseling & Supervision Services, Llc | |
|
24600 County Road 21 La Junta CO 81050-9765 | |
| (719) 469-2670 | |
| Not Available |
| Full Name | Ark Valley Counseling & Supervision Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 24600 County Road 21, La Junta, Colorado |
| Authorized Official Name and Position | Rayland Laroy Smith (OWNER) |
| Authorized Official Contact | 7194692670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ark Valley Counseling & Supervision Services, Llc 24600 County Road 21 La Junta CO 81050-9765 Ph: (719) 469-2670 | Ark Valley Counseling & Supervision Services, Llc 24600 County Road 21 La Junta CO 81050-9765 Ph: (719) 469-2670 |
| NPI Number | 1053187468 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 9133564743 |
|---|---|
| Medicare Enrollment ID | O20240305001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053187468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rayland L Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255615480 PECOS PAC ID: 0042655656 Enrollment ID: I20240305001201 |
Southeast Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672 | |
Ark Valley Counseling & Supervision Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 203, La Junta, CO 81050 Phone: 719-469-2670 | |
Divine Health Group Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1206 E 3rd St, La Junta, CO 81050 Phone: 719-413-5261 | |
Valley Community Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W 3rd Street Lincoln Square Professional Building, Suite 204, La Junta, CO 81050 Phone: 719-469-0799 | |
Single Point Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Barnes Ave, La Junta, CO 81050 Phone: 719-384-8503 Fax: 719-384-8411 | |
Valley-wide Health System, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 |