| Whole Kids Co. Pllc | |
|
11681 Voyager Pkwy Ste 150 Colorado Springs CO 80921-3864 | |
| (719) 344-9342 | |
| (719) 375-3531 |
| Full Name | Whole Kids Co. Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11681 Voyager Pkwy Ste 150, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christie Gail Collins (OWNER AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 4692231579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Kids Co. Pllc 11681 Voyager Pkwy Ste 150 Colorado Springs CO 80921-3864 Ph: (719) 344-9342 | Whole Kids Co. Pllc 11681 Voyager Pkwy Ste 150 Colorado Springs CO 80921-3864 Ph: (719) 344-9342 |
| NPI Number | 1932617792 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932617792 | NPI | - | NPPES |
| 00684210 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0013986 (Colorado) | Primary |
| 103K00000X | Behavior Analyst | 1-16-22433 (Colorado) | Secondary |
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