| Affirm Counseling Llc | |
|
2627 Redwing Rd Ste 150 Fort Collins CO 80526-6321 | |
| (970) 235-0011 | |
| Not Available |
| Full Name | Affirm Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2627 Redwing Rd Ste 150, Fort Collins, Colorado |
| Authorized Official Name and Position | Tyler Woody (OWNER) |
| Authorized Official Contact | 9702350011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirm Counseling Llc 3312 Kittery Ct Fort Collins CO 80526-2351 Ph: (970) 235-0011 | Affirm Counseling Llc 2627 Redwing Rd Ste 150 Fort Collins CO 80526-6321 Ph: (970) 235-0011 |
| NPI Number | 1750061289 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 1951747120 |
|---|---|
| Medicare Enrollment ID | O20240311000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750061289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tyler G Woody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013383561 PECOS PAC ID: 2860838034 Enrollment ID: I20240311002556 |
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