| Susan Hess Lpc Llc | |
|
4881 Forest Hill Rd Evergreen CO 80439-5723 | |
| (303) 246-5162 | |
| Not Available |
| Full Name | Susan Hess Lpc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4881 Forest Hill Rd, Evergreen, Colorado |
| Authorized Official Name and Position | Susan J Hess (OWNER) |
| Authorized Official Contact | 3032465162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Hess Lpc Llc 3719 Evergreen Pkwy Ste A-102 Evergreen CO 80439-7771 Ph: (303) 246-5162 | Susan Hess Lpc Llc 4881 Forest Hill Rd Evergreen CO 80439-5723 Ph: (303) 246-5162 |
| NPI Number | 1578310322 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 2365883410 |
|---|---|
| Medicare Enrollment ID | O20240507004104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578310322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan J Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487880019 PECOS PAC ID: 3274974324 Enrollment ID: I20240507004202 |
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