| Paula J Havice, LPC | |
|
1007 Old Dutch Mill Rd, Colorado Springs, CO 80907-3661 | |
| (719) 310-3860 | |
| Not Available |
| Full Name | Paula J Havice |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1007 Old Dutch Mill Rd, 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 |
|---|---|---|---|
| 1194971762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3677 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 2009 (Colorado) | Primary |
| Entity Name | Deer Oaks Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20170109001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula J Havice, LPC 1007 Old Dutch Mill Rd, Colorado Springs, CO 80907-3661 Ph: (719) 310-3860 | Paula J Havice, LPC 1007 Old Dutch Mill Rd, Colorado Springs, CO 80907-3661 Ph: (719) 310-3860 |
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 |