| Surface Creek Counseling LLC | |
|
494 Highway 92 Ste 300 Delta CO 81416-3441 | |
| (970) 835-9223 | |
| (970) 835-9230 |
| Full Name | Surface Creek Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 494 Highway 92 Ste 300, Delta, Colorado |
| Authorized Official Name and Position | Shannon April Fritchman (OWNER/MEMBER) |
| Authorized Official Contact | 9708359223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surface Creek Counseling LLC 13373 2600 Rd Eckert CO 81418-8500 Ph: (970) 901-1590 | Surface Creek Counseling LLC 494 Highway 92 Ste 300 Delta CO 81416-3441 Ph: (970) 835-9223 |
| NPI Number | 1306650387 |
|---|---|
| Provider Enumeration Date | 02/01/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Medicare PECOS PAC ID | 3375011539 |
|---|---|
| Medicare Enrollment ID | O20260506000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306650387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| Provider Name | Shannon April Fritchman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295437937 PECOS PAC ID: 5193293355 Enrollment ID: I20260506000869 |
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