| Roots To Ground Counseling | |
|
2500 N Circle Dr Ste 400 Colorado Springs CO 80909-1184 | |
| (719) 331-6653 | |
| (719) 623-0458 |
| Full Name | Roots To Ground Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2500 N Circle Dr Ste 400, Colorado Springs, Colorado |
| Authorized Official Name and Position | Cynthia A. Leblanc (OWNER) |
| Authorized Official Contact | 7193316653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots To Ground Counseling 1765 Rimwood Dr Colorado Springs CO 80918-7874 Ph: (719) 331-6653 | Roots To Ground Counseling 2500 N Circle Dr Ste 400 Colorado Springs CO 80909-1184 Ph: (719) 331-6653 |
| NPI Number | 1962958074 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 2062855471 |
|---|---|
| Medicare Enrollment ID | O20240213000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962958074 | NPI | - | NPPES |
| 9000148438 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1198 (Colorado) | Primary |
| Provider Name | Cynthia Ann Leblanc |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427306992 PECOS PAC ID: 3971946385 Enrollment ID: I20240213000538 |
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