Create Connectivity Counseling Pllc | |
509 N Zerex St Ste 105 Fraser CO 80442-5209 | |
(970) 427-2301 | |
(970) 447-2050 |
Full Name | Create Connectivity Counseling Pllc |
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Speciality | Counselor |
Location | 509 N Zerex St Ste 105, Fraser, Colorado |
Authorized Official Name and Position | Lauren Stokes (OWNER) |
Authorized Official Contact | 9704472008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Create Connectivity Counseling Pllc Po Box 2006 Fraser CO 80442-2006 Ph: () - | Create Connectivity Counseling Pllc 509 N Zerex St Ste 105 Fraser CO 80442-5209 Ph: (970) 427-2301 |
NPI Number | 1265110076 |
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Provider Enumeration Date | 07/11/2023 |
Last Update Date | 04/01/2025 |
Certification Date | 04/01/2025 |
Medicare PECOS PAC ID | 5092235614 |
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Medicare Enrollment ID | O20250225003649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265110076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Lauren Stokes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700285699 PECOS PAC ID: 6901326529 Enrollment ID: I20250225003787 |
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