| Skyline Counseling And Consulting | |
|
420 Pike Ave Canon City CO 81212-3134 | |
| (719) 371-1435 | |
| Not Available |
| Full Name | Skyline Counseling And Consulting |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Pike Ave, Canon City, Colorado |
| Authorized Official Name and Position | Trinda Hosselkus (OWNER) |
| Authorized Official Contact | 7193711435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Counseling And Consulting 420 Pike Ave Canon City CO 81212-3134 Ph: () - | Skyline Counseling And Consulting 420 Pike Ave Canon City CO 81212-3134 Ph: (719) 371-1435 |
| NPI Number | 1023740370 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 5597296590 |
|---|---|
| Medicare Enrollment ID | O20241001003987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023740370 | NPI | - | NPPES |
| 9009000192483 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Trinda Hosselkus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861911315 PECOS PAC ID: 8123462017 Enrollment ID: I20240219003515 |
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