| Ms Susanne Bridgette Neal, LPC, CACIII, MAC | |
|
Po Box 759, Leadville, CO 80461-0759 | |
| (719) 293-0750 | |
| Not Available |
| Full Name | Ms Susanne Bridgette Neal |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Po Box 759, Leadville, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831498732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0014244 (Colorado) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20802 (Colorado) | Primary |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230419000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susanne Bridgette Neal, LPC, CACIII, MAC Po Box 759, Leadville, CO 80461-0759 Ph: (197) 293-0750 | Ms Susanne Bridgette Neal, LPC, CACIII, MAC Po Box 759, Leadville, CO 80461-0759 Ph: (719) 293-0750 |
Elizabeth Levasseur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985 Fax: 719-486-0986 | |
Camille Ness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 605-890-1625 | |
Lauren Saathoff, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985 | |
Mandy J Kaisner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 Front St, Leadville, CO 80461 Phone: 719-486-0985 Fax: 719-486-0986 | |
Teresa Michelle Haynes, PSYCHOLOGIST Counselor Medicare: Medicare Enrolled Practice Location: Leadville Professional Building, 735 Hwy 24 South, Suite B, Leadville, CO 80461 Phone: 970-389-0621 | |
Mary Katherine Connell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Mount Lincoln Dr W, Leadville, CO 80461 Phone: 970-564-7439 |