| Counseling Coach, Llc | |
|
3958 N Academy Blvd Ste 113 Colorado Springs CO 80917-5911 | |
| (719) 473-6612 | |
| Not Available |
| Full Name | Counseling Coach, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3958 N Academy Blvd Ste 113, Colorado Springs, Colorado |
| Authorized Official Name and Position | Stephen Christopher (OWNER) |
| Authorized Official Contact | 7194736612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Coach, Llc 3958 N Academy Blvd Ste 113 Colorado Springs CO 80917-5911 Ph: (719) 473-6612 | Counseling Coach, Llc 3958 N Academy Blvd Ste 113 Colorado Springs CO 80917-5911 Ph: (719) 473-6612 |
| NPI Number | 1073294666 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 0345685640 |
|---|---|
| Medicare Enrollment ID | O20240227000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073294666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephen Earl Christopher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164813580 PECOS PAC ID: 1254776552 Enrollment ID: I20240227000352 |
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