| Erie Colorado Counseling Pllc | |
|
1687 W Laurel Glen Path Hernando FL 34442-6301 | |
| (720) 504-9444 | |
| Not Available |
| Full Name | Erie Colorado Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1687 W Laurel Glen Path, Hernando, Florida |
| Authorized Official Name and Position | Jodi J De Luca (OWNER) |
| Authorized Official Contact | 7205049444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erie Colorado Counseling Pllc 1687 W Laurel Glen Path Hernando FL 34442-6301 Ph: (720) 504-9444 | Erie Colorado Counseling Pllc 1687 W Laurel Glen Path Hernando FL 34442-6301 Ph: (720) 504-9444 |
| NPI Number | 1104275841 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 09/12/2025 |
| Certification Date | 09/12/2025 |
| Medicare PECOS PAC ID | 1254625486 |
|---|---|
| Medicare Enrollment ID | O20160810001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104275841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3669 (Colorado) | Primary |
| Provider Name | Jodi De Luca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699788083 PECOS PAC ID: 6002841913 Enrollment ID: I20120717000365 |
Source Route Products, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3795 E Parsons Point Rd, Box 1047, Hernando, FL 34442 Phone: 202-480-9234 | |
Bjl2, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1910 W Pickett Ct, Hernando, FL 34442 Phone: 352-697-5942 |