Mr Benjamin Phillips, LPC | |
107 W 11th St, Delta, CO 81416-1811 | |
(970) 252-3200 | |
Not Available |
Full Name | Mr Benjamin Phillips |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 107 W 11th St, Delta, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407517337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0021489 (Colorado) | Primary |
Entity Name | Southwest Colorado Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
Mailing Address | Practice Location Address |
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Mr Benjamin Phillips, LPC 150 Mercury Village Dr, Durango, CO 81301-8955 Ph: (970) 335-2422 | Mr Benjamin Phillips, LPC 107 W 11th St, Delta, CO 81416-1811 Ph: (970) 252-3200 |
Mr. Thomas S. Bender, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Main Street, Delta, Co 81416, Delta, CO 81416 Phone: 505-681-1140 Fax: 505-888-7943 | |
Dr. Ramin H Kadkhodaian, MA, PSYD, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 455 Palmer St, Delta, CO 81416 Phone: 970-699-5221 | |
Alyssa Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 494 Highway 92 Ste 300, Delta, CO 81416 Phone: 970-765-8559 | |
Lendol W Lawrence, LPC Counselor Medicare: Medicare Enrolled Practice Location: 296 Stafford Lane, Suite A, Delta, CO 81416 Phone: 970-874-5777 Fax: 970-546-4030 | |
Ms. Dawn Lorraine Capewell, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 Stafford Lane, Delta, CO 81416 Phone: 970-874-8981 Fax: 970-874-4169 | |
Dr. Laura Anne Blair, LPC, MFTC Counselor Medicare: Medicare Enrolled Practice Location: 300 Stafford Ln Ste 30248, Delta, CO 81416 Phone: 970-414-0707 | |
Amanda Bryant, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Valley View Dr, Delta, CO 81416 Phone: 970-263-3850 |