| Tree Tall Counseling, Llc | |
|
1426 N Hancock Ave Ste 5n Colorado Springs CO 80903-2672 | |
| (719) 210-0168 | |
| Not Available |
| Full Name | Tree Tall Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1426 N Hancock Ave Ste 5n, Colorado Springs, Colorado |
| Authorized Official Name and Position | Mary Alison Butler (LEAD THERAPIST) |
| Authorized Official Contact | 7192100168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Tall Counseling, Llc 1410 Prairie Rd Colorado Springs CO 80909-2956 Ph: (719) 210-0168 | Tree Tall Counseling, Llc 1426 N Hancock Ave Ste 5n Colorado Springs CO 80903-2672 Ph: (719) 210-0168 |
| NPI Number | 1861961336 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Medicare PECOS PAC ID | 6305179722 |
|---|---|
| Medicare Enrollment ID | O20190617002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861961336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770784902 PECOS PAC ID: 9234392093 Enrollment ID: I20120515000613 |
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