| Last Key On The Ring, Pllc | |
|
5590 N Academy Blvd Colorado Springs CO 80918-3616 | |
| (719) 357-1810 | |
| Not Available |
| Full Name | Last Key On The Ring, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5590 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tamara Shellee Latham (OWNER) |
| Authorized Official Contact | 7193571810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Last Key On The Ring, Pllc Po Box 88089 Colorado Springs CO 80908-8089 Ph: (719) 357-1810 | Last Key On The Ring, Pllc 5590 N Academy Blvd Colorado Springs CO 80918-3616 Ph: (719) 357-1810 |
| NPI Number | 1073165494 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 8527396290 |
|---|---|
| Medicare Enrollment ID | O20190820002530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073165494 | NPI | - | NPPES |
| 41585810 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Shellee Latham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265981278 PECOS PAC ID: 7012205404 Enrollment ID: I20161018002414 |
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