| Croswaite Counseling, Pllc | |
|
1120 W South Boulder Rd Ste 101j Lafayette CO 80026-8952 | |
| (720) 245-7390 | |
| Not Available |
| Full Name | Croswaite Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1120 W South Boulder Rd Ste 101j, Lafayette, Colorado |
| Authorized Official Name and Position | Khara Kay Croswaite Brindle (OWNER) |
| Authorized Official Contact | 7202457390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Croswaite Counseling, Pllc 7700 E Academy Blvd Unit 305 Denver CO 80230-7169 Ph: (720) 245-7390 | Croswaite Counseling, Pllc 1120 W South Boulder Rd Ste 101j Lafayette CO 80026-8952 Ph: (720) 245-7390 |
| NPI Number | 1023781119 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Certification Date | 08/14/2020 |
| Medicare PECOS PAC ID | 8426494832 |
|---|---|
| Medicare Enrollment ID | O20240307003181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023781119 | NPI | - | NPPES |
| 13305034 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Khara Kay Croswaite Brindle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750661799 PECOS PAC ID: 0244676658 Enrollment ID: I20240308000770 |
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