| Ponderosa Sky Counseling Llc | |
|
4230 Timber Ln Colorado Springs CO 80908-3770 | |
| (719) 338-0488 | |
| Not Available |
| Full Name | Ponderosa Sky Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4230 Timber Ln, Colorado Springs, Colorado |
| Authorized Official Name and Position | Linda Susan Daly (SURROGATE) |
| Authorized Official Contact | 7193380488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponderosa Sky Counseling Llc 4230 Timber Ln Colorado Springs CO 80908-3770 Ph: (719) 338-0488 | Ponderosa Sky Counseling Llc 4230 Timber Ln Colorado Springs CO 80908-3770 Ph: (719) 338-0488 |
| NPI Number | 1992361679 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 3375975691 |
|---|---|
| Medicare Enrollment ID | O20191107000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992361679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda S Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356690333 PECOS PAC ID: 1456501873 Enrollment ID: I20121022000062 |
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