| Selah Well-being, Llc | |
|
2992 Westcliff Cir Colorado Springs CO 80906-4531 | |
| (719) 257-3323 | |
| Not Available |
| Full Name | Selah Well-being, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2992 Westcliff Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lelieth Thompson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7192573323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Well-being, Llc 2992 Westcliff Cir Colorado Springs CO 80906-4531 Ph: () - | Selah Well-being, Llc 2992 Westcliff Cir Colorado Springs CO 80906-4531 Ph: (719) 257-3323 |
| NPI Number | 1972251866 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Medicare PECOS PAC ID | 0042659377 |
|---|---|
| Medicare Enrollment ID | O20240418002670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972251866 | NPI | - | NPPES |
| 1992146468 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lelieth Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992146468 PECOS PAC ID: 9537446471 Enrollment ID: I20170503000564 |
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