| Cheyenne Mountain Counseling & Wellness Center | |
|
108 E Cheyenne Rd Ste 206 Colorado Springs CO 80906-2535 | |
| (719) 434-1088 | |
| (719) 434-1166 |
| Full Name | Cheyenne Mountain Counseling & Wellness Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 108 E Cheyenne Rd Ste 206, Colorado Springs, Colorado |
| Authorized Official Name and Position | Melodie K Mack (OWNER, COUNSELOR) |
| Authorized Official Contact | 7194341088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Mountain Counseling & Wellness Center 108 E Cheyenne Rd Ste 206 Colorado Springs CO 80906-2535 Ph: (719) 434-1088 | Cheyenne Mountain Counseling & Wellness Center 108 E Cheyenne Rd Ste 206 Colorado Springs CO 80906-2535 Ph: (719) 434-1088 |
| NPI Number | 1043649429 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043649429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6389 (Colorado) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1069 (Colorado) | Primary |
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