Connectivity Counseling, LLC.
Organization Active NPI Clinical Social Worker · Salida, CO
NPI 1154847267 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1154847267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 09924005 (CO)
- Legal business name
- CONNECTIVITY COUNSELING, LLC.
- Practice address
- 123 G St Ste 8
Salida, CO 81201-2030 - Phone
- (719) 717-9009
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Elizabeth Durham Floyde, LCSW
- Title
- Owner/Operator
- Phone
- (719) 717-9009
Practitioners 1
-
Elizabeth Durham Floyde, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171114002668 | CO | Part B Supplier - Clinic/Group Practice | 8325304967 |
Receives reassigned benefits from 1 practitioner Practice locations: Poncha Springs, CO |
National Provider Directory
Locations
123 G St
Ste 8
Salida, CO 81201
Phone (719) 221-6937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 09924005 | CO | Yes |
Addresses
Primary practice location
123 G St Ste 8
Salida, CO 81201-2030
Mailing address
PO Box 1214
Poncha Springs, CO 81242-1001
Phone (719) 717-9009
Other practice location 1
107 LaPlata Ave
PO Box 1214
Poncha Springs, CO 81242-1001
Phone (719) 717-9009
Other providers in Salida, CO
- Staci Rene Coberly
- Collegiate Peaks Counseling, LLC
- Colorado Center for Lifestyle Medicine
- Complementary Medicine Clinic, LLC
- Lauren Cone
- Donna N Constance
- Amy B Cope
- County of Chaffee
- County of Chaffee
- County of Chaffee
All providers in Salida, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.