New Directions | |
5473 S Buckskin Pass Dr Colorado Springs CO 80917-2762 | |
(719) 391-9991 | |
Not Available |
Full Name | New Directions |
---|---|
Speciality | Counselor |
Location | 5473 S Buckskin Pass Dr, Colorado Springs, Colorado |
Authorized Official Name and Position | Jill Riley (OWNER) |
Authorized Official Contact | 7193379696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Directions 2910 N Powers Blvd # 305 Colorado Springs CO 80922-2801 Ph: (719) 337-9696 | New Directions 5473 S Buckskin Pass Dr Colorado Springs CO 80917-2762 Ph: (719) 391-9991 |
NPI Number | 1790371581 |
---|---|
Provider Enumeration Date | 12/15/2020 |
Last Update Date | 05/30/2024 |
Certification Date | 05/30/2024 |
Medicare PECOS PAC ID | 2365887726 |
---|---|
Medicare Enrollment ID | O20240226002782 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790371581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Jill L Riley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245338466 PECOS PAC ID: 0244675619 Enrollment ID: I20240226002969 |
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