| Neuro Hope Psychotherapy & Neurofeedback Pllc | |
|
7680 Goddard St Ste 130 Colorado Springs CO 80920-8233 | |
| (719) 323-3094 | |
| (719) 266-1773 |
| Full Name | Neuro Hope Psychotherapy & Neurofeedback Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7680 Goddard St Ste 130, Colorado Springs, Colorado |
| Authorized Official Name and Position | Zoe Bonack (MANAGING MEMBER) |
| Authorized Official Contact | 7193233094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Hope Psychotherapy & Neurofeedback Pllc 7730 N Union Blvd Ste 105 Colorado Springs CO 80920-4075 Ph: (719) 323-3094 | Neuro Hope Psychotherapy & Neurofeedback Pllc 7680 Goddard St Ste 130 Colorado Springs CO 80920-8233 Ph: (719) 323-3094 |
| NPI Number | 1104165240 |
|---|---|
| Provider Enumeration Date | 02/09/2013 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 7719242064 |
|---|---|
| Medicare Enrollment ID | O20180607001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104165240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12736 (Colorado) | Primary |
| Provider Name | Zoe L Bonack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295074334 PECOS PAC ID: 9931497047 Enrollment ID: I20161005001400 |
| Provider Name | Stephanie Spies-upton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801510524 PECOS PAC ID: 1456727007 Enrollment ID: I20221021002238 |
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