| Connection Centered Counseling Pllc | |
|
1225 Ken Pratt Blvd Unit 137 Longmont CO 80501-9000 | |
| (720) 727-7373 | |
| Not Available |
| Full Name | Connection Centered Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1225 Ken Pratt Blvd Unit 137, Longmont, Colorado |
| Authorized Official Name and Position | Elizabeth S Reisen (OWNER) |
| Authorized Official Contact | 7207277373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connection Centered Counseling Pllc 1501 Pearl Cv Round Rock TX 78681-1967 Ph: (720) 727-7373 | Connection Centered Counseling Pllc 1225 Ken Pratt Blvd Unit 137 Longmont CO 80501-9000 Ph: (720) 727-7373 |
| NPI Number | 1134852858 |
|---|---|
| Provider Enumeration Date | 07/09/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Medicare PECOS PAC ID | 8628450657 |
|---|---|
| Medicare Enrollment ID | O20220808000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134852858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth S Reisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639477300 PECOS PAC ID: 8729235114 Enrollment ID: I20120820000658 |
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