| Beyond Beautiful, Llc | |
|
716 N Tejon Ave # 7 Colorado Springs CO 80903 | |
| (719) 598-7800 | |
| (719) 204-3829 |
| Full Name | Beyond Beautiful, Llc |
|---|---|
| Speciality | Counselor |
| Location | 716 N Tejon Ave # 7, Colorado Springs, Colorado |
| Authorized Official Name and Position | Valerie B Montgomery (OWNER/COUNSELOR) |
| Authorized Official Contact | 7195987800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Beautiful, Llc 2316 N Wahsatch Ave # 312 Colorado Springs CO 80907-6941 Ph: (719) 298-7800 | Beyond Beautiful, Llc 716 N Tejon Ave # 7 Colorado Springs CO 80903 Ph: (719) 598-7800 |
| NPI Number | 1003124447 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 6800157397 |
|---|---|
| Medicare Enrollment ID | O20180226000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003124447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Valerie B Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760790182 PECOS PAC ID: 7214298702 Enrollment ID: I20240507001486 |
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