Couch Time Counseling And Consulting | |
1141 Gray Wolf Cir Pueblo CO 81001-4902 | |
(719) 877-2566 | |
Not Available |
Full Name | Couch Time Counseling And Consulting |
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Speciality | Counselor |
Location | 1141 Gray Wolf Cir, Pueblo, Colorado |
Authorized Official Name and Position | Kendal Wellington Humes (OWNER) |
Authorized Official Contact | 7195824362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Couch Time Counseling And Consulting 1022 Fortino Blvd Po Box 8628 Pueblo CO 81008 Ph: (719) 582-4362 | Couch Time Counseling And Consulting 1141 Gray Wolf Cir Pueblo CO 81001-4902 Ph: (719) 877-2566 |
NPI Number | 1770161242 |
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Provider Enumeration Date | 03/29/2021 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Medicare PECOS PAC ID | 7810421302 |
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Medicare Enrollment ID | O20241106001326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770161242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kendal Wellington Humes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508221276 PECOS PAC ID: 0446696058 Enrollment ID: I20240306000251 |
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