| Ensync Partnerships | |
|
2323 S Troy St Ste 3-107 Aurora CO 80014-1982 | |
| (314) 541-6256 | |
| Not Available |
| Full Name | Ensync Partnerships |
|---|---|
| Speciality | Counselor |
| Location | 2323 S Troy St Ste 3-107, Aurora, Colorado |
| Authorized Official Name and Position | Kellie Elizabeth Vazquez (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9047501229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensync Partnerships 6327 Coventry Dr Florissant MO 63033-7914 Ph: (904) 750-1229 | Ensync Partnerships 2323 S Troy St Ste 3-107 Aurora CO 80014-1982 Ph: (314) 541-6256 |
| NPI Number | 1063920619 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8628464799 |
|---|---|
| Medicare Enrollment ID | O20240415002442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063920619 | NPI | - | NPPES |
| 900143944 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0013572 (Colorado) | Primary |
| Provider Name | Kellie Vazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003362476 PECOS PAC ID: 9537555602 Enrollment ID: I20240415002851 |
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