| Mountain Path Therapy, Llc | |
|
219 N Iowa St Gunnison CO 81230-2478 | |
| (719) 626-1525 | |
| Not Available |
| Full Name | Mountain Path Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 219 N Iowa St, Gunnison, Colorado |
| Authorized Official Name and Position | Kathryn Hunt (OWNER) |
| Authorized Official Contact | 8025583815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Path Therapy, Llc 219 N Iowa St Gunnison CO 81230-2478 Ph: () - | Mountain Path Therapy, Llc 219 N Iowa St Gunnison CO 81230-2478 Ph: (719) 626-1525 |
| NPI Number | 1639990708 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 8426583220 |
|---|---|
| Medicare Enrollment ID | O20241202003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639990708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn S Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245670850 PECOS PAC ID: 1456652288 Enrollment ID: I20151221000093 |
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