| Rock Your Family | |
|
1465 Kelly Johnson Blvd Ste 305 Colorado Springs CO 80920-3947 | |
| (719) 362-0796 | |
| (719) 375-3004 |
| Full Name | Rock Your Family |
|---|---|
| Speciality | Counselor |
| Location | 1465 Kelly Johnson Blvd Ste 305, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jordan Hall (OWNER) |
| Authorized Official Contact | 7193620796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Your Family 1465 Kelly Johnson Blvd Ste 305 Colorado Springs CO 80920-3947 Ph: (719) 235-2495 | Rock Your Family 1465 Kelly Johnson Blvd Ste 305 Colorado Springs CO 80920-3947 Ph: (719) 362-0796 |
| NPI Number | 1275024044 |
|---|---|
| Provider Enumeration Date | 05/28/2018 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275024044 | NPI | - | NPPES |
| 12179498 | Medicaid | CO | |
| LPC.0014064 | Other | CO | COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC.0014064 (Colorado) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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