| Avilion Mental Health Llc | |
|
7710 N Union Blvd Ste 100i Colorado Springs CO 80920-4085 | |
| (719) 822-3789 | |
| Not Available |
| Full Name | Avilion Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 7710 N Union Blvd Ste 100i, Colorado Springs, Colorado |
| Authorized Official Name and Position | Samantha Jane Toale (OWNER) |
| Authorized Official Contact | 7198223789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avilion Mental Health Llc 8147 Radcliff Dr Colorado Springs CO 80920-8035 Ph: () - | Avilion Mental Health Llc 7710 N Union Blvd Ste 100i Colorado Springs CO 80920-4085 Ph: (719) 822-3789 |
| NPI Number | 1588211155 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 03/07/2024 |
| Certification Date | 02/01/2022 |
| Medicare PECOS PAC ID | 8527404953 |
|---|---|
| Medicare Enrollment ID | O20240307003941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588211155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samantha Toale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760033328 PECOS PAC ID: 8426497587 Enrollment ID: I20240423002132 |
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