Rock Your Family, Llc | |
12295 Oracle Blvd Ste 330 Colorado Springs CO 80921-3902 | |
(719) 722-4441 | |
Not Available |
Full Name | Rock Your Family, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 12295 Oracle Blvd Ste 330, Colorado Springs, Colorado |
Authorized Official Name and Position | Jordan Hall (CLINICAL DIRECTOR) |
Authorized Official Contact | 7192352495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rock Your Family, Llc 12295 Oracle Blvd Ste 330 Colorado Springs CO 80921-3902 Ph: (719) 722-4441 | Rock Your Family, Llc 12295 Oracle Blvd Ste 330 Colorado Springs CO 80921-3902 Ph: (719) 722-4441 |
NPI Number | 1699494534 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 08/24/2022 |
Certification Date | 08/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699494534 | NPI | - | NPPES |
12179498 | Medicaid | CO | |
LPC.0014064 | Other | CO | LICENSED PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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