| Compass Rose Counseling, Llc | |
|
44 E Spaulding Ave Ste 1 Pueblo West CO 81007-1668 | |
| (719) 582-3003 | |
| (866) 286-8545 |
| Full Name | Compass Rose Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44 E Spaulding Ave Ste 1, Pueblo West, Colorado |
| Authorized Official Name and Position | Sarah R Fowler (OWNER/COUNSELOR) |
| Authorized Official Contact | 7195823003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Rose Counseling, Llc 44 E Spaulding Ave Ste 1 Pueblo West CO 81007-1668 Ph: (719) 582-3003 | Compass Rose Counseling, Llc 44 E Spaulding Ave Ste 1 Pueblo West CO 81007-1668 Ph: (719) 582-3003 |
| NPI Number | 1962041350 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 3274065511 |
|---|---|
| Medicare Enrollment ID | O20241011002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962041350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sarah Rose Fowler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386083806 PECOS PAC ID: 4183156425 Enrollment ID: I20241011002344 |
| Provider Name | Ami Gorsky-zabukovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760624415 PECOS PAC ID: 1557882925 Enrollment ID: I20250303001363 |
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