| Reaching Stars Llc | |
|
22150 Enoch Rd Calhan CO 80808-8523 | |
| (719) 799-0130 | |
| Not Available |
| Full Name | Reaching Stars Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22150 Enoch Rd, Calhan, Colorado |
| Authorized Official Name and Position | Jenna Miller (CEO) |
| Authorized Official Contact | 7197990130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching Stars Llc 22150 Enoch Rd Calhan CO 80808-8523 Ph: (719) 799-0130 | Reaching Stars Llc 22150 Enoch Rd Calhan CO 80808-8523 Ph: (719) 799-0130 |
| NPI Number | 1952037350 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952037350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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