| Mountain Soul Resources, Inc | |
|
812 Grand Ave Suite 209 Glenwood Springs CO 81601-3482 | |
| (970) 319-4013 | |
| Not Available |
| Full Name | Mountain Soul Resources, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 812 Grand Ave, Glenwood Springs, Colorado |
| Authorized Official Name and Position | Cheri Barger (OWNER/PRESIDENT) |
| Authorized Official Contact | 9703194013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Soul Resources, Inc 1110 Parkwood Ln Glenwood Springs CO 81601-4549 Ph: () - | Mountain Soul Resources, Inc 812 Grand Ave Suite 209 Glenwood Springs CO 81601-3482 Ph: (970) 319-4013 |
| NPI Number | 1962715862 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 08/17/2016 |
| Medicare PECOS PAC ID | 4183897168 |
|---|---|
| Medicare Enrollment ID | O20111108000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962715862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1530 (Colorado) | Primary |
| Provider Name | Cheri L Barger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225338700 PECOS PAC ID: 5092988071 Enrollment ID: I20170807000822 |
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