| Itza Corazon Community Services Llc | |
|
518 N Chelton Rd Ste 210 Colorado Springs CO 80909-5256 | |
| (710) 500-6009 | |
| Not Available |
| Full Name | Itza Corazon Community Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 518 N Chelton Rd Ste 210, Colorado Springs, Colorado |
| Authorized Official Name and Position | Pedro F Riddell (CEO) |
| Authorized Official Contact | 5307869882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itza Corazon Community Services Llc 1160 Lake Plaza Dr Ste 200 Colorado Springs CO 80906-3507 Ph: (719) 500-6009 | Itza Corazon Community Services Llc 518 N Chelton Rd Ste 210 Colorado Springs CO 80909-5256 Ph: (710) 500-6009 |
| NPI Number | 1942029459 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 05/06/2026 |
| Certification Date | 05/06/2026 |
| Medicare PECOS PAC ID | 6002343712 |
|---|---|
| Medicare Enrollment ID | O20241219000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942029459 | NPI | - | NPPES |
| Provider Name | Pedro F Riddell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750803003 PECOS PAC ID: 7810424520 Enrollment ID: I20241219000992 |
Beyond Beautiful, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 716 N Tejon Ave # 7, Colorado Springs, CO 80903 Phone: 719-598-7800 Fax: 719-204-3829 | |
New Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13879 Single Leaf Ct, Colorado Springs, CO 80921 Phone: 719-231-0527 | |
Peak Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 N Arcadia St, Colorado Springs, CO 80903 Phone: 720-384-5312 | |
Bijou Treatment And Training Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Willamette Pl, Colorado Springs, CO 80909 Phone: 719-442-0144 | |
Restorative Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd Ste 206, Colorado Springs, CO 80917 Phone: 719-259-3834 | |
Lentz Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5855 Lehman Dr Ste 202, Colorado Springs, CO 80918 Phone: 719-551-9911 Fax: 719-596-9636 | |
Alive Connections Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-650-1200 Fax: 719-619-2439 |