| Open Gate Counseling Service, Llc | |
|
1201 E 7th St Ste 202 Pueblo CO 81001-3506 | |
| (719) 744-2326 | |
| Not Available |
| Full Name | Open Gate Counseling Service, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1201 E 7th St Ste 202, Pueblo, Colorado |
| Authorized Official Name and Position | Karen C Khaton (OWNER/THERAPIST) |
| Authorized Official Contact | 7197442326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Gate Counseling Service, Llc 1201 E 7th St Ste 202 Pueblo CO 81001-3506 Ph: (719) 744-2326 | Open Gate Counseling Service, Llc 1201 E 7th St Ste 202 Pueblo CO 81001-3506 Ph: (719) 744-2326 |
| NPI Number | 1124745054 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 2860928009 |
|---|---|
| Medicare Enrollment ID | O20241211000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124745054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Karen M Khaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932524394 PECOS PAC ID: 3779019914 Enrollment ID: I20241211000659 |
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