| Carol F. Myers, Lpc, Llc | |
|
2985 Broadmoor Valley Rd Colorado Springs CO 80906-4484 | |
| (719) 640-7630 | |
| (719) 373-1725 |
| Full Name | Carol F. Myers, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2985 Broadmoor Valley Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Carol F Myers (OWNER) |
| Authorized Official Contact | 7196407630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol F. Myers, Lpc, Llc 3283 Electra Dr Colorado Springs CO 80906-1088 Ph: (719) 640-7630 | Carol F. Myers, Lpc, Llc 2985 Broadmoor Valley Rd Colorado Springs CO 80906-4484 Ph: (719) 640-7630 |
| NPI Number | 1508318007 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 0648623363 |
|---|---|
| Medicare Enrollment ID | O20240130001482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508318007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4259 (Colorado) | Primary |
| Provider Name | Carol Fullerton Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699099846 PECOS PAC ID: 2466805189 Enrollment ID: I20240130001706 |
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