Inner Peace Psychotherapy | |
2130 Academy Cir Ste E Colorado Springs CO 80909-1661 | |
(719) 459-2097 | |
(719) 418-6296 |
Full Name | Inner Peace Psychotherapy |
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Speciality | Counselor |
Location | 2130 Academy Cir Ste E, Colorado Springs, Colorado |
Authorized Official Name and Position | Michelle Lynn Vrooman (THERAPIST/OWNER) |
Authorized Official Contact | 7194592097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Peace Psychotherapy 2130 Academy Cir Ste E Colorado Springs CO 80909-1661 Ph: (719) 459-2097 | Inner Peace Psychotherapy 2130 Academy Cir Ste E Colorado Springs CO 80909-1661 Ph: (719) 459-2097 |
NPI Number | 1083491484 |
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Provider Enumeration Date | 09/11/2023 |
Last Update Date | 10/14/2023 |
Certification Date | 10/14/2023 |
Medicare PECOS PAC ID | 8325499361 |
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Medicare Enrollment ID | O20240104000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083491484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
Provider Name | Michelle Vrooman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114469152 PECOS PAC ID: 2567724735 Enrollment ID: I20180328000827 |
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