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18401 Highway 24 Ste 119 Woodland Park CO 80863-9036 | |
| (719) 572-6100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18401 Highway 24 Ste 119, Woodland Park, Colorado |
| Authorized Official Name and Position | Gene Contreras (VP, ACCOUNTING & FINANCE) |
| Authorized Official Contact | 7195726197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
220 Ruskin Dr Colorado Springs CO 80910-2522 Ph: () - | 18401 Highway 24 Ste 119 Woodland Park CO 80863-9036 Ph: (719) 572-6100 |
| NPI Number | 1811352586 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811352586 | NPI | - | NPPES |
| 47073501 | Medicaid | CO | |
| C44009 | Other | CO | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Four Feathers Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Woodland Valley Ranch Dr, Woodland Park, CO 80863 Phone: 719-761-1655 Fax: 719-687-7377 | |
Willow Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2b, Woodland Park, CO 80863 Phone: 719-201-8714 | |
Exploration Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Summer Haven Dr, Woodland Park, CO 80863 Phone: 417-619-5224 | |
Sandra W Lester Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 W Midland Ave, Suite 1, Woodland Park, CO 80863 Phone: 719-322-6770 Fax: 719-687-8881 | |
Aspire Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 W Midland Ave, Suite 160 A&b, Woodland Park, CO 80863 Phone: 719-963-5744 Fax: 719-309-1323 | |
Crystal Creek Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave, Woodland Park, CO 80863 Phone: 719-640-5344 | |