| Song Sparrow Counseling Llc | |
|
287 Century Cir Ste 100 Louisville CO 80027-1684 | |
| (720) 310-8241 | |
| Not Available |
| Full Name | Song Sparrow Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 287 Century Cir Ste 100, Louisville, Colorado |
| Authorized Official Name and Position | Charles Rosicky (THERAPIST OWNER) |
| Authorized Official Contact | 7203108241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Song Sparrow Counseling Llc 287 Century Cir Ste 100 Louisville CO 80027-1684 Ph: (720) 310-8241 | Song Sparrow Counseling Llc 287 Century Cir Ste 100 Louisville CO 80027-1684 Ph: (720) 310-8241 |
| NPI Number | 1952174286 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 07/15/2024 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 6800245358 |
|---|---|
| Medicare Enrollment ID | O20231211000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952174286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Charles Joseph Rosicky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538944574 PECOS PAC ID: 7719336163 Enrollment ID: I20231211000819 |
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