| New Balance Professional Counseling | |
|
121 S Wilcox St Suite E Castle Rock CO 80104-1910 | |
| (307) 421-6635 | |
| (720) 600-6792 |
| Full Name | New Balance Professional Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 121 S Wilcox St, Castle Rock, Colorado |
| Authorized Official Name and Position | Erica Jolene Bellar (OWNER/MANAGER) |
| Authorized Official Contact | 3074216635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Balance Professional Counseling 121 S Wilcox St Suite E Castle Rock CO 80104-1910 Ph: (307) 421-6635 | New Balance Professional Counseling 121 S Wilcox St Suite E Castle Rock CO 80104-1910 Ph: (307) 421-6635 |
| NPI Number | 1427499003 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 02/22/2016 |
| Medicare PECOS PAC ID | 9133565930 |
|---|---|
| Medicare Enrollment ID | O20240315000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427499003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0011530 (Colorado) | Primary |
| Provider Name | Erica J Bellar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235301540 PECOS PAC ID: 0042656845 Enrollment ID: I20240315002882 |
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