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NPI Code Detail

MEDICARE: FOUR POINTS COUNSELING CENTER LLC

MEDICARE: FOUR POINTS COUNSELING CENTER 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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker
4106H00000XMarriage & Family Therapist
5101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1770221004
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR POINTS COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 1221 E ELIZABETH ST STE 3
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4066
Country : US
Telephone Number : 970-682-1337
Fax Number : 855-461-3393
Provider Business Practice Location Address
First Line : 4190 N GARFIELD AVE STE 1
Second Line :
City : LOVELAND
State : CO
Zip : 80538-2246
Country : US
Telephone Number : 970-682-1337
Fax Number : 855-461-3393
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LAUREN BOE STANLEY
Credential : LCSW
Telephone Number : 970-682-1337
Provider Enumeration Date : 05/25/2022
Last Update Date : 12/20/2023

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Directions to “FOUR POINTS COUNSELING CENTER LLC ” Practice Location

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