| S.o.l., Ltd. Liability Company | |
|
577 E 10th St Durango CO 81301-5228 | |
| (303) 895-1783 | |
| Not Available |
| Full Name | S.o.l., Ltd. Liability Company |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 577 E 10th St, Durango, Colorado |
| Authorized Official Name and Position | Joel Berdie (SOCIAL WORKER) |
| Authorized Official Contact | 3038951783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.o.l., Ltd. Liability Company 577 E 10th St Durango CO 81301-5228 Ph: (303) 895-1783 | S.o.l., Ltd. Liability Company 577 E 10th St Durango CO 81301-5228 Ph: (303) 895-1783 |
| NPI Number | 1790419737 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 4183155898 |
|---|---|
| Medicare Enrollment ID | O20241007000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790419737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joel Berdie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093448789 PECOS PAC ID: 5092246702 Enrollment ID: I20241007000163 |
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