| Quiet Spirit Counseling Professional Llc | |
|
751 Maleta Ln Ste 202 Castle Rock CO 80108-7607 | |
| (719) 201-7397 | |
| Not Available |
| Full Name | Quiet Spirit Counseling Professional Llc |
|---|---|
| Speciality | Social Worker |
| Location | 751 Maleta Ln Ste 202, Castle Rock, Colorado |
| Authorized Official Name and Position | Marian Lin Mondy (OWNER) |
| Authorized Official Contact | 7192017397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quiet Spirit Counseling Professional Llc 2371 Morningview Ln Castle Rock CO 80109-3708 Ph: (719) 201-7397 | Quiet Spirit Counseling Professional Llc 751 Maleta Ln Ste 202 Castle Rock CO 80108-7607 Ph: (719) 201-7397 |
| NPI Number | 1457080202 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 0345622890 |
|---|---|
| Medicare Enrollment ID | O20220801001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457080202 | NPI | - | NPPES |
| CSW.09925256 | Other | CO | DORA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marian Lin Mondy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952955403 PECOS PAC ID: 5294065314 Enrollment ID: I20191002002275 |
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