| Lariviere Creative Counseling | |
|
5145 N Academy Blvd Ste 110 Colorado Springs CO 80918-4051 | |
| (719) 425-8911 | |
| Not Available |
| Full Name | Lariviere Creative Counseling |
|---|---|
| Speciality | Counselor |
| Location | 5145 N Academy Blvd Ste 110, Colorado Springs, Colorado |
| Authorized Official Name and Position | Nancy Lariviere (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7194258911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lariviere Creative Counseling 5145 N Academy Blvd Ste 110 Colorado Springs CO 80918-4051 Ph: (719) 425-8911 | Lariviere Creative Counseling 5145 N Academy Blvd Ste 110 Colorado Springs CO 80918-4051 Ph: (719) 425-8911 |
| NPI Number | 1871117374 |
|---|---|
| Provider Enumeration Date | 06/01/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 6103278072 |
|---|---|
| Medicare Enrollment ID | O20240503000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871117374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nancy Lariviere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831680388 PECOS PAC ID: 7911359880 Enrollment ID: I20240503000974 |
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