Moonstone Springs Counseling Pllc | |
7026 Davey Crocket Ct Colorado Springs CO 80922-8000 | |
(719) 425-9395 | |
Not Available |
Full Name | Moonstone Springs Counseling Pllc |
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Speciality | Counselor |
Location | 7026 Davey Crocket Ct, Colorado Springs, Colorado |
Authorized Official Name and Position | Mary Lauren Foy (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7194259395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moonstone Springs Counseling Pllc 7026 Davey Crocket Ct Colorado Springs CO 80922-8000 Ph: () - | Moonstone Springs Counseling Pllc 7026 Davey Crocket Ct Colorado Springs CO 80922-8000 Ph: (719) 425-9395 |
NPI Number | 1255039632 |
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Provider Enumeration Date | 02/15/2023 |
Last Update Date | 02/01/2024 |
Certification Date | 02/01/2024 |
Medicare PECOS PAC ID | 6507206331 |
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Medicare Enrollment ID | O20240426002866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255039632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Mary Lauren Foy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366976094 PECOS PAC ID: 7416397252 Enrollment ID: I20240426002968 |
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