MEDICARE: OUTCOME 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1548010283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTCOME COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1821 RIDGEWAY AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3073
Country	:	US
Telephone Number	:	719-645-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 RIDGEWAY AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3073
Country	:	US
Telephone Number	:	719-645-1500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIK SCHLIMMER
Credential	:	LCSW
Telephone Number	:	719-645-1500

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

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