| 5280 Sports Counseling | |
|
2429 S Xanadu Way Unit D Aurora CO 80014-2121 | |
| (720) 645-9817 | |
| Not Available |
| Full Name | 5280 Sports Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2429 S Xanadu Way Unit D, Aurora, Colorado |
| Authorized Official Name and Position | Sollita Lucero (OWNER) |
| Authorized Official Contact | 7206459817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 5280 Sports Counseling 2429 S Xanadu Way Unit D Aurora CO 80014-2121 Ph: (720) 645-9817 | 5280 Sports Counseling 2429 S Xanadu Way Unit D Aurora CO 80014-2121 Ph: (720) 645-9817 |
| NPI Number | 1164260782 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 1557893716 |
|---|---|
| Medicare Enrollment ID | O20241014002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164260782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sollita Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043987118 PECOS PAC ID: 7315390523 Enrollment ID: I20240124001493 |
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