| Blue Mountain Counseling, Llc | |
|
743 Horizon Ct Ste 310-b Grand Jct CO 81506-8701 | |
| (970) 361-2088 | |
| (844) 888-1231 |
| Full Name | Blue Mountain Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 743 Horizon Ct Ste 310-b, Grand Jct, Colorado |
| Authorized Official Name and Position | Virginia Rusy (OWNER) |
| Authorized Official Contact | 9703612088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Counseling, Llc 743 Horizon Ct Ste 310-b Grand Jct CO 81506-8701 Ph: (970) 361-2088 | Blue Mountain Counseling, Llc 743 Horizon Ct Ste 310-b Grand Jct CO 81506-8701 Ph: (970) 361-2088 |
| NPI Number | 1093567430 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 6800237769 |
|---|---|
| Medicare Enrollment ID | O20240627001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093567430 | NPI | - | NPPES |
| 1265967095 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Virginia Ann Rusy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669870838 PECOS PAC ID: 7719328574 Enrollment ID: I20240627002763 |
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