| Life Compass Counseling Llc | |
|
831 Royal Gorge Blvd Suite 226 Canon City CO 81212-6709 | |
| (719) 431-9050 | |
| Not Available |
| Full Name | Life Compass Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 831 Royal Gorge Blvd, Canon City, Colorado |
| Authorized Official Name and Position | Jennifer Marie Vanhove (OWNER) |
| Authorized Official Contact | 7194319050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Compass Counseling Llc 831 Royal Gorge Blvd Suite 226 Canon City CO 81212-6709 Ph: (719) 431-9050 | Life Compass Counseling Llc 831 Royal Gorge Blvd Suite 226 Canon City CO 81212-6709 Ph: (719) 431-9050 |
| NPI Number | 1750788758 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9436439809 |
|---|---|
| Medicare Enrollment ID | O20161201001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750788758 | NPI | - | NPPES |
| 12774090 | Other | CAQH | |
| 16976223 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09923502 (Colorado) | Primary |
| Provider Name | Jennifer Marie Vanhove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538487053 PECOS PAC ID: 9739402546 Enrollment ID: I20150102000149 |
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