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NPI Code Detail

MEDICARE: NEXUS COUNSELING SERVICES

MEDICARE: NEXUS 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
11041C0700XClinical Social Worker
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1174377857
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUS COUNSELING SERVICES
Provider Business Mailing Address
First Line : 157 FONTAINE BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-2110
Country : US
Telephone Number : 719-358-3558
Fax Number :
Provider Business Practice Location Address
First Line : 6710 S US HIGHWAY 85-87
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1014
Country : US
Telephone Number : 719-358-3558
Fax Number :
Authorized Official
Title or Position : COFOUNDER
Name : ANGIE LAWHENORE
Credential :
Telephone Number : 719-358-3558
Provider Enumeration Date : 04/17/2024
Last Update Date : 07/18/2024

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Directions to “NEXUS COUNSELING SERVICES ” Practice Location

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