| Freedom Counseling Services | |
|
530 Communication Cir Colorado Springs CO 80905-1744 | |
| (719) 362-0630 | |
| Not Available |
| Full Name | Freedom Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 530 Communication Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Dustin Halliwell (MENTAL HEALTH CLINICIAN/OWNER) |
| Authorized Official Contact | 5622210712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Services 530 Communication Cir Colorado Springs CO 80905-1744 Ph: (719) 362-0630 | Freedom Counseling Services 530 Communication Cir Colorado Springs CO 80905-1744 Ph: (719) 362-0630 |
| NPI Number | 1760110175 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 2264801083 |
|---|---|
| Medicare Enrollment ID | O20221216001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760110175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dustin Halliwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447601463 PECOS PAC ID: 0345617171 Enrollment ID: I20221107002798 |
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