| Mountain Meadows Counseling, Llc | |
|
620 Trust Dr Bayfield CO 81122-9235 | |
| (970) 222-2027 | |
| Not Available |
| Full Name | Mountain Meadows Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 620 Trust Dr, Bayfield, Colorado |
| Authorized Official Name and Position | Conny Heischkel (MENTAL HEALTH THERAPIST, OWNER) |
| Authorized Official Contact | 9702222027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Meadows Counseling, Llc 620 Trust Dr Bayfield CO 81122-9235 Ph: (970) 222-2027 | Mountain Meadows Counseling, Llc 620 Trust Dr Bayfield CO 81122-9235 Ph: (970) 222-2027 |
| NPI Number | 1386991305 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 08/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386991305 | NPI | - | NPPES |
| C810674 | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991272 (Colorado) | Primary |
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