| Creekside Counseling, Ltd. | |
|
1388 M 1/2 Rd Loma CO 81524-9728 | |
| (970) 250-6270 | |
| Not Available |
| Full Name | Creekside Counseling, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 1388 M 1/2 Rd, Loma, Colorado |
| Authorized Official Name and Position | Kymberly Owens (OWNER) |
| Authorized Official Contact | 9702506270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Counseling, Ltd. Po Box 123 Loma CO 81524-0123 Ph: () - | Creekside Counseling, Ltd. 1388 M 1/2 Rd Loma CO 81524-9728 Ph: (970) 250-6270 |
| NPI Number | 1841998028 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 5395119440 |
|---|---|
| Medicare Enrollment ID | O20230313002415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841998028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kymberly J Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336367838 PECOS PAC ID: 6204200355 Enrollment ID: I20230314000890 |
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