| Reynel Mirabal | |
|
5525 Erindale Dr Ste 201 Colorado Springs CO 80918-6962 | |
| (305) 773-7927 | |
| Not Available |
| Full Name | Reynel Mirabal |
|---|---|
| Speciality | Social Worker |
| Location | 5525 Erindale Dr Ste 201, Colorado Springs, Colorado |
| Authorized Official Name and Position | Reynel Mirabal (THERAPIST) |
| Authorized Official Contact | 3057737927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reynel Mirabal 3670 Queen Anne Way Colorado Springs CO 80917-5491 Ph: () - | Reynel Mirabal 5525 Erindale Dr Ste 201 Colorado Springs CO 80918-6962 Ph: (305) 773-7927 |
| NPI Number | 1629854930 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 1850812843 |
|---|---|
| Medicare Enrollment ID | O20250306001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629854930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Reynel Mirabal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700384112 PECOS PAC ID: 5991188658 Enrollment ID: I20220815000154 |
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