| 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 - Clinical |
| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124798608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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