MEDICARE: HR 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	993012	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	COB4519	OTHER	CO	MEDICARE PART B

General Provider Information

NPI Number	:	1619104726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HR COUNSELING LLC

Provider Business Mailing Address
First Line	:	9331 S COLORADO BLVD
Second Line	:	SUITE 60
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-7467
Country	:	US
Telephone Number	:	720-206-5824
Fax Number	:

Provider Business Practice Location Address
First Line	:	9331 S COLORADO BLVD
Second Line	:	SUITE 60
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-7467
Country	:	US
Telephone Number	:	720-206-5824
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	JOANNA FLEMONS
Credential	:	LCSW
Telephone Number	:	720-206-5824

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	06/16/2009

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Directions to “HR COUNSELING LLC ” Practice Location

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