| Rocky Mountain Reflection Llc | |
|
7941 Lexington Park Dr Colorado Springs CO 80920-4074 | |
| (701) 388-9783 | |
| Not Available |
| Full Name | Rocky Mountain Reflection Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7941 Lexington Park Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Samantha Dawn Ellice Sholts (OWNER) |
| Authorized Official Contact | 7013889783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Reflection Llc 7941 Lexington Park Dr Colorado Springs CO 80920-4074 Ph: (701) 388-9783 | Rocky Mountain Reflection Llc 7941 Lexington Park Dr Colorado Springs CO 80920-4074 Ph: (701) 388-9783 |
| NPI Number | 1043078058 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043078058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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