| An Enduring Love, Co | |
|
204 Walnut St Ste A Fort Collins CO 80524-4439 | |
| (970) 510-6362 | |
| Not Available |
| Full Name | An Enduring Love, Co |
|---|---|
| Speciality | Counselor |
| Location | 204 Walnut St Ste A, Fort Collins, Colorado |
| Authorized Official Name and Position | Rob Colbert (OWNER, COUNSELOR) |
| Authorized Official Contact | 9705106362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| An Enduring Love, Co 204 Walnut St Ste A Fort Collins CO 80524-4439 Ph: (970) 510-6362 | An Enduring Love, Co 204 Walnut St Ste A Fort Collins CO 80524-4439 Ph: (970) 510-6362 |
| NPI Number | 1518733633 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 5698115830 |
|---|---|
| Medicare Enrollment ID | O20240503003247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518733633 | NPI | - | NPPES |
| Provider Name | Rob Neil Colbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750843587 PECOS PAC ID: 6507206745 Enrollment ID: I20240503003345 |
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