| Aspen Summit Wellness And Counseling Services Llc | |
|
1120 38th Ave Suite 3 Greeley CO 80634-2578 | |
| (970) 596-4405 | |
| Not Available |
| Full Name | Aspen Summit Wellness And Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1120 38th Ave, Greeley, Colorado |
| Authorized Official Name and Position | Daniel Lechleiter (OWNER) |
| Authorized Official Contact | 7205982792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Summit Wellness And Counseling Services Llc 1603 14th Ave Apt B Greeley CO 80631-5384 Ph: () - | Aspen Summit Wellness And Counseling Services Llc 1120 38th Ave Suite 3 Greeley CO 80634-2578 Ph: (970) 596-4405 |
| NPI Number | 1659815264 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4688195621 |
|---|---|
| Medicare Enrollment ID | O20250306003518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659815264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC.13273 (Colorado) | Primary |
| Provider Name | Daniel Lechleiter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962807032 PECOS PAC ID: 6608397476 Enrollment ID: I20250310001461 |
| Provider Name | Katy Kara Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942744610 PECOS PAC ID: 5890212161 Enrollment ID: I20250509001162 |
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