| Elevation Gain Counseling Services Llc | |
|
897 Rim Rock Rd Bailey CO 80421-2142 | |
| (720) 383-3298 | |
| Not Available |
| Full Name | Elevation Gain Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 897 Rim Rock Rd, Bailey, Colorado |
| Authorized Official Name and Position | Taegan Dolphin (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7203833298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Gain Counseling Services Llc 897 Rim Rock Rd Bailey CO 80421-2142 Ph: (720) 383-3298 | Elevation Gain Counseling Services Llc 897 Rim Rock Rd Bailey CO 80421-2142 Ph: (720) 383-3298 |
| NPI Number | 1780310276 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 9234515859 |
|---|---|
| Medicare Enrollment ID | O20221005003054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780310276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Taegan L Dolphin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699384677 PECOS PAC ID: 8022435650 Enrollment ID: I20200827003220 |
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