Counsel By Grace, Pllc | |
10200 W 44th Ave Ste 402b Wheat Ridge CO 80033-6826 | |
(720) 459-1200 | |
(720) 783-2816 |
Full Name | Counsel By Grace, Pllc |
---|---|
Speciality | Counselor |
Location | 10200 W 44th Ave Ste 402b, Wheat Ridge, Colorado |
Authorized Official Name and Position | Robyn Elysia Ruetz (OWNER) |
Authorized Official Contact | 7204591200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Counsel By Grace, Pllc 10200 W 44th Ave Ste 402b Wheat Ridge CO 80033-6826 Ph: (720) 459-1200 | Counsel By Grace, Pllc 10200 W 44th Ave Ste 402b Wheat Ridge CO 80033-6826 Ph: (720) 459-1200 |
NPI Number | 1326816943 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 08/21/2024 |
Certification Date | 08/21/2024 |
Medicare PECOS PAC ID | 4688023559 |
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Medicare Enrollment ID | O20231218002763 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326816943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Robyn Elysia Ruetz |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952931420 PECOS PAC ID: 3577912443 Enrollment ID: I20231218003652 |
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