| Mr Hugh M Keating, MA | |
|
431 W 4th St, Walsenburg, CO 81089-1915 | |
| (719) 989-0179 | |
| (928) 753-1226 |
| Full Name | Mr Hugh M Keating |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 431 W 4th St, Walsenburg, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962517359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4901 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3054 (Nebraska) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hugh M Keating, MA 431 W 4th St, Walsenburg, CO 81089-1915 Ph: (719) 989-0179 | Mr Hugh M Keating, MA 431 W 4th St, Walsenburg, CO 81089-1915 Ph: (719) 989-0179 |
Eva Marie Benine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Russell Ave, Walsenburg, CO 81089 Phone: 719-738-2076 | |
Mr. Edgar Carl De Van Iii, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Russell Ave, Walsenburg, CO 81089 Phone: 719-738-2076 | |
Joan Maley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Ave, Walsenburg, CO 81089 Phone: 719-545-2746 Fax: 719-584-0119 | |
Heather Barnes, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Russell Ave, Walsenburg, CO 81089 Phone: 719-738-2076 | |
Dana Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Ave, Walsenburg, CO 81089 Phone: 719-739-2386 Fax: 719-738-2021 | |
Ms. Sandra Dee Majors, LCSW, CACIII, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 Russell Street, Walsenburg, CO 81089 Phone: 719-738-2386 Fax: 719-738-1066 |