| 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 | Clinic/center - Adult Mental Health |
| 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 | This clinic does not participate in Medicare Program. |
| 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 | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124745054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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