| Achieving Life's Potential Alp Counseling Llc | |
|
416 Colorado Ave Pueblo CO 81004-2011 | |
| (719) 320-1256 | |
| Not Available |
| Full Name | Achieving Life's Potential Alp Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 416 Colorado Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Anisha Perez (OWNER) |
| Authorized Official Contact | 7193201256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieving Life's Potential Alp Counseling Llc 27 Thames Dr Pueblo CO 81005-3512 Ph: (719) 320-1256 | Achieving Life's Potential Alp Counseling Llc 416 Colorado Ave Pueblo CO 81004-2011 Ph: (719) 320-1256 |
| NPI Number | 1235948092 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Medicare PECOS PAC ID | 1557881182 |
|---|---|
| Medicare Enrollment ID | O20250225004045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235948092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anisha Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679350540 PECOS PAC ID: 2264871482 Enrollment ID: I20240419001654 |
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