| Brain Waves Llc | |
|
4570 Hilton Pkwy Ste 202d Colorado Springs CO 80907-3566 | |
| (719) 432-9222 | |
| Not Available |
| Full Name | Brain Waves Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4570 Hilton Pkwy Ste 202d, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jeremy Rogers (OWNER AND THERAPIST) |
| Authorized Official Contact | 7194329222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Waves Llc 4570 Hilton Pkwy Ste 202d Colorado Springs CO 80907-3566 Ph: () - | Brain Waves Llc 4570 Hilton Pkwy Ste 202d Colorado Springs CO 80907-3566 Ph: (719) 432-9222 |
| NPI Number | 1558925453 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558925453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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