| Connectivity Counseling, Llc. | |
|
123 G St Ste 8 Salida CO 81201-2030 | |
| (719) 717-9009 | |
| Not Available |
| Full Name | Connectivity Counseling, Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 123 G St Ste 8, Salida, Colorado |
| Authorized Official Name and Position | Elizabeth Durham Floyde (OWNER/OPERATOR) |
| Authorized Official Contact | 7197179009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connectivity Counseling, Llc. Po Box 1214 Poncha Springs CO 81242-1001 Ph: (719) 717-9009 | Connectivity Counseling, Llc. 123 G St Ste 8 Salida CO 81201-2030 Ph: (719) 717-9009 |
| NPI Number | 1154847267 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8325304967 |
|---|---|
| Medicare Enrollment ID | O20171114002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154847267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09924005 (Colorado) | Primary |
| Provider Name | Elizabeth Durham Floyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104293224 PECOS PAC ID: 8325341019 Enrollment ID: I20160130000001 |
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