| Smc Mental Health Services, Llc | |
|
7222 Commerce Center Dr Ste 220 Colorado Springs CO 80919-2631 | |
| (719) 283-3584 | |
| (719) 400-1977 |
| Full Name | Smc Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7222 Commerce Center Dr Ste 220, Colorado Springs, Colorado |
| Authorized Official Name and Position | Syretta Mcgraw (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7194121400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smc Mental Health Services, Llc 7222 Commerce Center Dr Ste 220 Colorado Springs CO 80919-2631 Ph: (719) 283-3584 | Smc Mental Health Services, Llc 7222 Commerce Center Dr Ste 220 Colorado Springs CO 80919-2631 Ph: (719) 283-3584 |
| NPI Number | 1194428268 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 3678933199 |
|---|---|
| Medicare Enrollment ID | O20230716000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194428268 | NPI | - | NPPES |
| Provider Name | Syretta Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083203590 PECOS PAC ID: 7810304086 Enrollment ID: I20210406001204 |
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