| Emily E Thompson, | |
|
3460 S Federal Blvd, Sheridan, CO 80110-1967 | |
| (303) 761-0200 | |
| Not Available |
| Full Name | Emily E Thompson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3460 S Federal Blvd, Sheridan, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194350603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC.0020007 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Monumental Experiences Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770250300 PECOS PAC ID: 9436594215 Enrollment ID: O20240303000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily E Thompson, 1295 Kelly Johnson Blvd Ste 240, Colorado Springs, CO 80920-3963 Ph: (720) 588-0162 | Emily E Thompson, 3460 S Federal Blvd, Sheridan, CO 80110-1967 Ph: (303) 761-0200 |
Gabriella Genova, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 S Federal Blvd, Sheridan, CO 80110 Phone: 303-761-0200 | |
Kristen Ann Mason, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 S Platte River Dr Apt 11206, Sheridan, CO 80110 Phone: 207-272-9453 | |
Max Armstrong, CAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 S Federal Blvd, Sheridan, CO 80110 Phone: 303-761-0200 | |
Sophia Ernstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 S Federal Blvd, Sheridan, CO 80110 Phone: 303-761-0200 | |
Sabrina Rubaud, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 S Federal Blvd, Sheridan, CO 80110 Phone: 303-761-0200 | |
Amanda Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3460 S Federal Blvd, Sheridan, CO 80110 Phone: 303-761-0200 |