| Nathan R Havens, LPC | |
|
4585 Hilton Pkwy Ste 202, Colorado Springs, CO 80907-3559 | |
| (888) 600-1088 | |
| (719) 599-4693 |
| Full Name | Nathan R Havens |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4585 Hilton Pkwy Ste 202, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124524459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13997 (Colorado) | 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 |
|---|---|
| Nathan R Havens, LPC 4585 Hilton Pkwy Ste 202, Colorado Springs, CO 80907-3559 Ph: () - | Nathan R Havens, LPC 4585 Hilton Pkwy Ste 202, Colorado Springs, CO 80907-3559 Ph: (888) 600-1088 |
Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130 | |
Andrea Wood, LPC Counselor Medicare: Medicare Enrolled Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342 | |
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300 | |
Prof. Dorothy Ann Taggart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3230 E Woodmen Rd Ste 110, Colorado Springs, CO 80920 Phone: 719-623-2356 | |
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 | |
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705 | |
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488 |