| Centennial Community Care, Llc | |
|
545 E Pikes Peak Ave Colorado Springs CO 80903-3637 | |
| (940) 597-5382 | |
| Not Available |
| Full Name | Centennial Community Care, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 545 E Pikes Peak Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Shea Enos (OWNER) |
| Authorized Official Contact | 9405975382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Community Care, Llc 101 Cemetery Rd Aurora TX 76078-4503 Ph: () - | Centennial Community Care, Llc 545 E Pikes Peak Ave Colorado Springs CO 80903-3637 Ph: (940) 597-5382 |
| NPI Number | 1659738243 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659738243 | NPI | - | NPPES |
| 000000000 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Beyond Beautiful, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 716 N Tejon Ave # 7, Colorado Springs, CO 80903 Phone: 719-598-7800 Fax: 719-204-3829 | |
New Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13879 Single Leaf Ct, Colorado Springs, CO 80921 Phone: 719-231-0527 | |
Peak Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 N Arcadia St, Colorado Springs, CO 80903 Phone: 720-384-5312 | |
Btti Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Willamette Pl, Colorado Springs, CO 80909 Phone: 719-442-0144 | |
Restorative Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd Ste 206, Colorado Springs, CO 80917 Phone: 719-259-3834 | |
Lentz Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5855 Lehman Dr Ste 202, Colorado Springs, CO 80918 Phone: 719-551-9911 Fax: 719-596-9636 | |
Alive Connections Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-650-1200 Fax: 719-619-2439 |