| Mind Body Connections Counseling | |
|
202 W North St Cortez CO 81321-3121 | |
| (385) 232-3671 | |
| (801) 384-0610 |
| Full Name | Mind Body Connections Counseling |
|---|---|
| Speciality | Counselor |
| Location | 202 W North St, Cortez, Colorado |
| Authorized Official Name and Position | Renee Podunovich (OWNER) |
| Authorized Official Contact | 3852323671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Connections Counseling 202 W North St Cortez CO 81321-3121 Ph: (385) 232-3671 | Mind Body Connections Counseling 202 W North St Cortez CO 81321-3121 Ph: (385) 232-3671 |
| NPI Number | 1598231656 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 3971953837 |
|---|---|
| Medicare Enrollment ID | O20231219002656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598231656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Renee Ann Podunovich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477807568 PECOS PAC ID: 8224488192 Enrollment ID: I20231219002763 |
| Provider Name | Russ Alan Patten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417393059 PECOS PAC ID: 5799135653 Enrollment ID: I20231219002876 |
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