| Mindful Resolve Counseling, Llc | |
|
7560 Rangewood Dr Ste 210 Colorado Springs CO 80920-2100 | |
| (719) 725-1987 | |
| (888) 425-0383 |
| Full Name | Mindful Resolve Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7560 Rangewood Dr Ste 210, Colorado Springs, Colorado |
| Authorized Official Name and Position | Breanne Willey (OWNER/COUNSELOR) |
| Authorized Official Contact | 7196591915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Resolve Counseling, Llc 7560 Rangewood Dr Ste 210 Colorado Springs CO 80920-2100 Ph: (719) 725-1987 | Mindful Resolve Counseling, Llc 7560 Rangewood Dr Ste 210 Colorado Springs CO 80920-2100 Ph: (719) 725-1987 |
| NPI Number | 1598390916 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 5991156093 |
|---|---|
| Medicare Enrollment ID | O20240404003849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598390916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Breanne N Willey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316580681 PECOS PAC ID: 8527419621 Enrollment ID: I20240404004061 |
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