| Jamye Rico Lpc Llc | |
|
6035 Erin Park Dr Ste 102 Colorado Springs CO 80918-3427 | |
| (719) 351-7815 | |
| Not Available |
| Full Name | Jamye Rico Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 6035 Erin Park Dr Ste 102, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jamye Rico (OWNER) |
| Authorized Official Contact | 7193517815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamye Rico Lpc Llc 6035 Erin Park Dr Ste 102 Colorado Springs CO 80918-3427 Ph: (719) 351-7815 | Jamye Rico Lpc Llc 6035 Erin Park Dr Ste 102 Colorado Springs CO 80918-3427 Ph: (719) 351-7815 |
| NPI Number | 1154176758 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 4981043981 |
|---|---|
| Medicare Enrollment ID | O20240423001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154176758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jamye N Rico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225301005 PECOS PAC ID: 3678912672 Enrollment ID: I20240423002096 |
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