| Monumental Therapy Group Pllc | |
|
1235 Lake Plaza Dr Ste 125 Colorado Springs CO 80906-3581 | |
| (719) 510-0624 | |
| (719) 576-0298 |
| Full Name | Monumental Therapy Group Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1235 Lake Plaza Dr Ste 125, Colorado Springs, Colorado |
| Authorized Official Name and Position | Rebecca Brennan (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 7195100624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monumental Therapy Group Pllc 1235 Lake Plaza Dr Ste 125 Colorado Springs CO 80906-3581 Ph: (719) 357-6175 | Monumental Therapy Group Pllc 1235 Lake Plaza Dr Ste 125 Colorado Springs CO 80906-3581 Ph: (719) 510-0624 |
| NPI Number | 1568049088 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 4789126020 |
|---|---|
| Medicare Enrollment ID | O20240603001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568049088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Rebecca Brennan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245584259 PECOS PAC ID: 6507308848 Enrollment ID: I20240603001625 |
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