| Chipita Counseling Services Llc | |
|
1548 G St Suite 2a Salida CO 81201-2645 | |
| (719) 329-4810 | |
| (866) 805-1874 |
| Full Name | Chipita Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1548 G St, Salida, Colorado |
| Authorized Official Name and Position | Maryann K Longwell (OWNER) |
| Authorized Official Contact | 7193294810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chipita Counseling Services Llc 1548 G St Suite 2a Salida CO 81201-2645 Ph: (719) 329-4810 | Chipita Counseling Services Llc 1548 G St Suite 2a Salida CO 81201-2645 Ph: (719) 329-4810 |
| NPI Number | 1770923229 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 06/28/2013 |
| Medicare PECOS PAC ID | 7315181781 |
|---|---|
| Medicare Enrollment ID | O20130925000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770923229 | NPI | - | NPPES |
| COA 103565 | Other | CO | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| 69200084 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1159 (Colorado) | Primary |
| Provider Name | Maryann Longwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053455352 PECOS PAC ID: 2860549193 Enrollment ID: I20090402000424 |
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