| Ms Brenda G Demouchet, LPC | |
|
87 Piney Point Ln, Woodland Park, CO 80863-8734 | |
| (719) 687-8214 | |
| Not Available |
| Full Name | Ms Brenda G Demouchet |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 87 Piney Point Ln, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083820989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4472 (Colorado) | Primary |
| Entity Name | Summit Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356962849 PECOS PAC ID: 3577988864 Enrollment ID: O20200804000433 |
| 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 |
|---|---|
| Ms Brenda G Demouchet, LPC 87 Piney Point Ln, Woodland Park, CO 80863-8734 Ph: (719) 687-8214 | Ms Brenda G Demouchet, LPC 87 Piney Point Ln, Woodland Park, CO 80863-8734 Ph: (719) 687-8214 |
Kelly J Echols, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 W Midland Ave Ste 155, Woodland Park, CO 80863 Phone: 719-650-8114 | |
Mrs. Danelle Dawn Jackson-stith, BCABA Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 Piney Point Ln, Woodland Park, CO 80863 Phone: 719-648-3785 | |
Margaret Brimm, CCJS, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave Ste 202, Woodland Park, CO 80863 Phone: 719-678-2464 Fax: 719-309-1323 | |
Lindsey Doering, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2d, Woodland Park, CO 80863 Phone: 719-286-9077 | |
Jerilyn L Yingling, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave Ste 250d, Woodland Park, CO 80863 Phone: 719-686-6703 Fax: 719-686-6704 | |
Candice Berger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2b, Woodland Park, CO 80863 Phone: 719-201-8714 |