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NPI Code Detail

MEDICARE: WHOLE HEART COUNSELING, LLC

MEDICARE: WHOLE HEART COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225671100
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLE HEART COUNSELING, LLC
Provider Business Mailing Address
First Line : 4760 FLINTRIDGE DR STE 250
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4264
Country : US
Telephone Number : 719-314-9228
Fax Number : 719-634-2563
Provider Business Practice Location Address
First Line : 4760 FLINTRIDGE DR STE 250
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4264
Country : US
Telephone Number : 719-314-9228
Fax Number : 719-634-2563
Authorized Official
Title or Position : OWNER
Name : TIFFANY M NERGUIZIAN
Credential : LPC
Telephone Number : 719-314-9228
Provider Enumeration Date : 10/23/2019
Last Update Date : 10/23/2019

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Directions to “WHOLE HEART COUNSELING, LLC ” Practice Location

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