| Jars Of Clay, Llc | |
|
6537 N. Academy 1052 Colorado Springs CO 80918-8091 | |
| (303) 900-8712 | |
| Not Available |
| Full Name | Jars Of Clay, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6537 N. Academy, Colorado Springs, Colorado |
| Authorized Official Name and Position | Monique Phillip (OWNER) |
| Authorized Official Contact | 3039008712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jars Of Clay, Llc 7875 Morning Dew Rd Colorado Springs CO 80908-5637 Ph: (281) 203-1514 | Jars Of Clay, Llc 6537 N. Academy 1052 Colorado Springs CO 80918-8091 Ph: (303) 900-8712 |
| NPI Number | 1013563154 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 0042656597 |
|---|---|
| Medicare Enrollment ID | O20240307000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013563154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Monique Phillip |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629510805 PECOS PAC ID: 1951747401 Enrollment ID: I20240307000692 |
| Provider Name | Macie Dominique |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124787411 PECOS PAC ID: 2365884814 Enrollment ID: I20240529002409 |
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