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NPI Code Detail

MEDICARE: MR. MICHAEL D MAXEY

MEDICARE: MR. MICHAEL D MAXEY
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
1101YP2500XProfessional CounselorLPC.0001911CO

General Provider Information

NPI Number : 1669672069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL D MAXEY
Provider Business Mailing Address
First Line : 212 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-447-0370
Fax Number : 719-447-0371
Provider Business Practice Location Address
First Line : 212 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-447-0370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 03/20/2025

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Directions to “ MR. MICHAEL D MAXEY ” Practice Location

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