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NPI Code Detail

MEDICARE: CARECORNER COUNSELING LLC

MEDICARE: CARECORNER 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1932996667
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARECORNER COUNSELING LLC
Provider Business Mailing Address
First Line : PO BOX 8101
Second Line :
City : PUEBLO
State : CO
Zip : 81008-8101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 503 N MAIN ST STE 104LL
Second Line :
City : PUEBLO
State : CO
Zip : 81003-3179
Country : US
Telephone Number : 719-691-5206
Fax Number : 719-569-7974
Authorized Official
Title or Position : DIRECTOR
Name : GINA PARADISO
Credential :
Telephone Number : 719-691-5206
Provider Enumeration Date : 04/24/2025
Last Update Date : 08/05/2025

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Directions to “CARECORNER COUNSELING LLC ” Practice Location

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