| A Safe Space To Heal | |
|
11420 Cranston Dr Peyton CO 80831-6868 | |
| (719) 646-7854 | |
| (719) 495-7965 |
| Full Name | A Safe Space To Heal |
|---|---|
| Speciality | Psychologist |
| Location | 11420 Cranston Dr, Peyton, Colorado |
| Authorized Official Name and Position | Deborah Anne Galaska (PSYCHOLOGIST) |
| Authorized Official Contact | 7196467854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Safe Space To Heal 11420 Cranston Dr Peyton CO 80831-6868 Ph: (719) 646-7854 | A Safe Space To Heal 11420 Cranston Dr Peyton CO 80831-6868 Ph: (719) 646-7854 |
| NPI Number | 1518194778 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 2163554866 |
|---|---|
| Medicare Enrollment ID | O20110310001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518194778 | NPI | - | NPPES |
| 9000177236 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Deborah Anne Galaska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154519890 PECOS PAC ID: 3072645779 Enrollment ID: I20110310001087 |
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