| Resilient Trails Therapeutic Services Pllc | |
|
2790 N Academy Blvd Ste 337 Colorado Springs CO 80917-5328 | |
| (719) 301-9185 | |
| Not Available |
| Full Name | Resilient Trails Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2790 N Academy Blvd Ste 337, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tanya Balduff (OWNER/THERAPIST) |
| Authorized Official Contact | 9102865447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Trails Therapeutic Services Pllc 2790 N Academy Blvd Ste 337 Colorado Springs CO 80917-5328 Ph: (719) 301-9185 | Resilient Trails Therapeutic Services Pllc 2790 N Academy Blvd Ste 337 Colorado Springs CO 80917-5328 Ph: (719) 301-9185 |
| NPI Number | 1124798608 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/12/2021 |
| Medicare PECOS PAC ID | 6800285487 |
|---|---|
| Medicare Enrollment ID | O20211122000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124798608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tanya Laray Balduff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669981478 PECOS PAC ID: 7618366295 Enrollment ID: I20211122000157 |
Beyond Beautiful, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 716 N Tejon Ave # 7, Colorado Springs, CO 80903 Phone: 719-598-7800 Fax: 719-204-3829 | |
New Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13879 Single Leaf Ct, Colorado Springs, CO 80921 Phone: 719-231-0527 | |
Peak Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 N Arcadia St, Colorado Springs, CO 80903 Phone: 720-384-5312 | |
Restorative Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd Ste 206, Colorado Springs, CO 80917 Phone: 719-259-3834 | |
Lentz Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5855 Lehman Dr Ste 202, Colorado Springs, CO 80918 Phone: 719-551-9911 Fax: 719-596-9636 | |
Alive Connections Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-650-1200 Fax: 719-619-2439 |