| Mustard Seed Health And Wellbeing | |
|
2951 E Us Highway 50 Canon City CO 81212-2701 | |
| (719) 204-3480 | |
| Not Available |
| Full Name | Mustard Seed Health And Wellbeing |
|---|---|
| Speciality | Counselor |
| Location | 2951 E Us Highway 50, Canon City, Colorado |
| Authorized Official Name and Position | Pamela A Seng (OWNER/THERAPIST) |
| Authorized Official Contact | 7192043492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seed Health And Wellbeing 1890 Bluff St Canon City CO 81212-9422 Ph: (719) 204-3492 | Mustard Seed Health And Wellbeing 2951 E Us Highway 50 Canon City CO 81212-2701 Ph: (719) 204-3480 |
| NPI Number | 1639977895 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 5193242550 |
|---|---|
| Medicare Enrollment ID | O20250508001871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639977895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela A Seng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497414163 PECOS PAC ID: 0648628065 Enrollment ID: I20240805002353 |
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