MEDICARE: MS. ROSEMARY EADS MA, LPC

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	101YM0800X	Mental Health Counselor	5129	CO
2	101YM0800X	Mental Health Counselor	0103701	NM

General Provider Information

NPI Number	:	1144436635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY EADS MA, LPC

Provider Business Mailing Address
First Line	:	9998 N DRANSFELDT RD
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-4022
Country	:	US
Telephone Number	:	720-839-1556
Fax Number	:	303-341-4745

Provider Business Practice Location Address
First Line	:	1306 S. DUQUESNE CIR.
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018
Country	:	US
Telephone Number	:	720-839-1556
Fax Number	:	303-341-4745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	03/03/2009

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