| Gwen Simbeck Lpc Pllc | |
|
244 Washington St Monument CO 80132-9173 | |
| (719) 481-6150 | |
| Not Available |
| Full Name | Gwen Simbeck Lpc Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 Washington St, Monument, Colorado |
| Authorized Official Name and Position | Gwen Eileen Simbeck (OWNER/THERAPIST) |
| Authorized Official Contact | 7194816150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Simbeck Lpc Pllc 17840 Grama Rdg Colorado Springs CO 80908-1363 Ph: (719) 481-6150 | Gwen Simbeck Lpc Pllc 244 Washington St Monument CO 80132-9173 Ph: (719) 481-6150 |
| NPI Number | 1265265490 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 0547700387 |
|---|---|
| Medicare Enrollment ID | O20240909000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265265490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gwen Eileen Simbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649744764 PECOS PAC ID: 1456891290 Enrollment ID: I20240909000869 |
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