| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 07/11/2023 | 
| Last Update Date | 04/01/2025 | 
| Certification Date | 04/01/2025 | 
| Medicare PECOS PAC ID | 5092235614 | 
|---|---|
| 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 | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1700285699 PECOS PAC ID: 6901326529 Enrollment ID: I20250225003787  | 
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