| Authentic Life Counseling Colorado Springs | |
|
1115 Elkton Dr Ste 202 Colorado Springs CO 80907-3599 | |
| (719) 963-2927 | |
| Not Available |
| Full Name | Authentic Life Counseling Colorado Springs |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 Elkton Dr Ste 202, Colorado Springs, Colorado |
| Authorized Official Name and Position | Candace Eritano Richey (CEO) |
| Authorized Official Contact | 7199632927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Life Counseling Colorado Springs Po Box 64002 Colorado Springs CO 80962-4002 Ph: () - | Authentic Life Counseling Colorado Springs 1115 Elkton Dr Ste 202 Colorado Springs CO 80907-3599 Ph: (719) 963-2927 |
| NPI Number | 1598308181 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 4789034000 |
|---|---|
| Medicare Enrollment ID | O20231229000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598308181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Candace Eritano Richey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639664758 PECOS PAC ID: 5698125912 Enrollment ID: I20231229000227 |
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