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NPI Code Detail

MEDICARE: ELEOS CHRISTIAN COUNSELING SERVICES

MEDICARE: ELEOS CHRISTIAN COUNSELING SERVICES
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 Agency741CO

General Provider Information

NPI Number : 1316216310
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEOS CHRISTIAN COUNSELING SERVICES
Provider Business Mailing Address
First Line : 2550 STOVER ST UNIT F
Second Line : SUITE 103
City : FORT COLLINS
State : CO
Zip : 80525-4643
Country : US
Telephone Number : 970-556-0109
Fax Number : 970-224-4893
Provider Business Practice Location Address
First Line : 2550 STOVER ST UNIT F
Second Line : SUITE 103
City : FORT COLLINS
State : CO
Zip : 80525-4643
Country : US
Telephone Number : 970-556-0109
Fax Number : 970-224-4893
Authorized Official
Title or Position : DIRECTOR
Name : MRS. STEPHANIE FLORENCE HOTALING
Credential : LMFT
Telephone Number : 970-556-0109
Provider Enumeration Date : 12/20/2011
Last Update Date : 12/20/2011

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Directions to “ELEOS CHRISTIAN COUNSELING SERVICES ” Practice Location

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