| Lifesong Counseling Llc | |
|
3450 Lost Lake Pl Unit I3 Fort Collins CO 80528-7056 | |
| (970) 817-3426 | |
| Not Available |
| Full Name | Lifesong Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 3450 Lost Lake Pl Unit I3, Fort Collins, Colorado |
| Authorized Official Name and Position | Shelly Ann Foster (OWNER) |
| Authorized Official Contact | 9708173426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesong Counseling Llc 3450 Lost Lake Pl Unit I3 Fort Collins CO 80528-7056 Ph: (970) 817-3426 | Lifesong Counseling Llc 3450 Lost Lake Pl Unit I3 Fort Collins CO 80528-7056 Ph: (970) 817-3426 |
| NPI Number | 1982031555 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 2264884634 |
|---|---|
| Medicare Enrollment ID | O20240122002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982031555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0005433 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shelly A Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760480875 PECOS PAC ID: 0941652598 Enrollment ID: I20240118003497 |
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