| Winds Of Change Psychological Services | |
|
10 Boulder Crescent St Colorado Springs CO 80903-3344 | |
| (719) 213-6377 | |
| Not Available |
| Full Name | Winds Of Change Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 10 Boulder Crescent St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Brian Seavey (OWNER) |
| Authorized Official Contact | 7192136377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Psychological Services 10 Boulder Crescent St Colorado Springs CO 80903-3344 Ph: () - | Winds Of Change Psychological Services 10 Boulder Crescent St Colorado Springs CO 80903-3344 Ph: (719) 213-6377 |
| NPI Number | 1215787544 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 4284179441 |
|---|---|
| Medicare Enrollment ID | O20240711002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215787544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brian Seavey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770651002 PECOS PAC ID: 6103922000 Enrollment ID: I20070626000406 |
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