| Mountaineer Counseling And Consulting, Llc | |
|
1843 Austin Bluffs Pkwy Ste 201 Colorado Springs CO 80918-7857 | |
| (719) 338-4665 | |
| (719) 548-8396 |
| Full Name | Mountaineer Counseling And Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1843 Austin Bluffs Pkwy Ste 201, Colorado Springs, Colorado |
| Authorized Official Name and Position | David C. Solly (OWNER) |
| Authorized Official Contact | 7193384665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountaineer Counseling And Consulting, Llc 7855 Pine Cone Rd Colorado Springs CO 80908-6117 Ph: (719) 338-4665 | Mountaineer Counseling And Consulting, Llc 1843 Austin Bluffs Pkwy Ste 201 Colorado Springs CO 80918-7857 Ph: (719) 338-4665 |
| NPI Number | 1477080430 |
|---|---|
| Provider Enumeration Date | 05/20/2017 |
| Last Update Date | 05/20/2017 |
| Medicare PECOS PAC ID | 5698042372 |
|---|---|
| Medicare Enrollment ID | O20170531001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477080430 | NPI | - | NPPES |
| 2835 | Other | CO | PSYCHOLOGIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2835 (Colorado) | Primary |
| Provider Name | David C Solly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942400270 PECOS PAC ID: 9436108578 Enrollment ID: I20050117000078 |
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