| Footprints Of Change Counseling Pllc | |
|
355 N Ellicott Hwy # A101 Calhan CO 80808-8877 | |
| (719) 749-6211 | |
| (719) 500-4465 |
| Full Name | Footprints Of Change Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 355 N Ellicott Hwy # A101, Calhan, Colorado |
| Authorized Official Name and Position | Marie-anne Abenroth (OWNER) |
| Authorized Official Contact | 7197496211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Of Change Counseling Pllc 355 N Ellicott Hwy # A101 Calhan CO 80808-8877 Ph: (719) 749-6211 | Footprints Of Change Counseling Pllc 355 N Ellicott Hwy # A101 Calhan CO 80808-8877 Ph: (719) 749-6211 |
| NPI Number | 1447915129 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 5496287633 |
|---|---|
| Medicare Enrollment ID | O20241014001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447915129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marie-anne Abenroth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225692247 PECOS PAC ID: 6305378548 Enrollment ID: I20241014002067 |
Reaching Stars Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22150 Enoch Rd, Calhan, CO 80808 Phone: 719-799-0130 |