| Connect Counseling & Psychological Services, Pllc | |
|
430 Beacon Lite Rd Unit 140 Monument CO 80132-9146 | |
| (719) 370-3839 | |
| Not Available |
| Full Name | Connect Counseling & Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 430 Beacon Lite Rd Unit 140, Monument, Colorado |
| Authorized Official Name and Position | Christine Mayumi Hamilton (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7193703839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Counseling & Psychological Services, Pllc 430 Beacon Lite Road Unit 140 Monument CO 80132 Ph: (719) 370-3839 | Connect Counseling & Psychological Services, Pllc 430 Beacon Lite Rd Unit 140 Monument CO 80132-9146 Ph: (719) 370-3839 |
| NPI Number | 1215503776 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 9032515846 |
|---|---|
| Medicare Enrollment ID | O20210902001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215503776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801167903 PECOS PAC ID: 8325383243 Enrollment ID: I20181221000748 |
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