| Outside Rein, Llc | |
|
13576 County Rd 1 Florissant CO 80816-9001 | |
| (719) 235-7473 | |
| (719) 748-0196 |
| Full Name | Outside Rein, Llc |
|---|---|
| Speciality | Counselor |
| Location | 13576 County Rd 1, Florissant, Colorado |
| Authorized Official Name and Position | Monique Julia Ekker (OWNER/THERAPIST) |
| Authorized Official Contact | 7192357473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside Rein, Llc 13576 County Rd 1 Florissant CO 80816-9001 Ph: (719) 235-7473 | Outside Rein, Llc 13576 County Rd 1 Florissant CO 80816-9001 Ph: (719) 235-7473 |
| NPI Number | 1508338575 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 12/31/2018 |
| Medicare PECOS PAC ID | 9739626227 |
|---|---|
| Medicare Enrollment ID | O20240801002436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508338575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monique Julia Ekker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700241361 PECOS PAC ID: 0143767731 Enrollment ID: I20240801002721 |
Lifepath Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 Southpark Rd, Florissant, CO 80816 Phone: 719-465-7442 Fax: 719-960-2279 |