| Equilibrium Counseling Services | |
|
330 N Lincoln Ave Ste 108 Loveland CO 80537-5600 | |
| (970) 599-1314 | |
| Not Available |
| Full Name | Equilibrium Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 330 N Lincoln Ave, Loveland, Colorado |
| Authorized Official Name and Position | Christina Vonie' Stillson (PRESIDENT) |
| Authorized Official Contact | 9705991314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium Counseling Services 330 N Lincoln Ave Ste 108 Loveland CO 80537-5600 Ph: (970) 599-1314 | Equilibrium Counseling Services 330 N Lincoln Ave Ste 108 Loveland CO 80537-5600 Ph: (970) 599-1314 |
| NPI Number | 1063871416 |
|---|---|
| Provider Enumeration Date | 02/13/2016 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 4183075997 |
|---|---|
| Medicare Enrollment ID | O20240105002086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063871416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0012986 (Colorado) | Primary |
| 101YM0800X | Counselor - Mental Health | 1899 (Mississippi) | Secondary |
| Provider Name | Christina Vonie Stillson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457709834 PECOS PAC ID: 8628429438 Enrollment ID: I20240105002500 |
| Provider Name | Stepheny N Chapple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013496835 PECOS PAC ID: 6507218690 Enrollment ID: I20240112004065 |
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