| Bright Space Counseling Center | |
|
1611 S Murray Blvd Colorado Springs CO 80916-4502 | |
| (719) 645-5637 | |
| Not Available |
| Full Name | Bright Space Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1611 S Murray Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Maria Del Pilar Berger (DIRECTOR) |
| Authorized Official Contact | 7196407089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Space Counseling Center 1611 S Murray Blvd Colorado Springs CO 80916-4502 Ph: (719) 645-5637 | Bright Space Counseling Center 1611 S Murray Blvd Colorado Springs CO 80916-4502 Ph: (719) 645-5637 |
| NPI Number | 1174181416 |
|---|---|
| Provider Enumeration Date | 06/02/2019 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 2961811385 |
|---|---|
| Medicare Enrollment ID | O20210514000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174181416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jose Ramon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346656071 PECOS PAC ID: 0547582462 Enrollment ID: I20141204000748 |
| Provider Name | Maria Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568573863 PECOS PAC ID: 5799194114 Enrollment ID: I20231229001762 |
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