MRS. PRISCILLA LEE AGOSTO 101YA0400X NPI 1750914024

NPI Information

NPI: 1750914024
Provider Name: MRS. PRISCILLA LEE AGOSTO, 101YA0400X
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
724 N TEJON ST
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 227-7745
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MRS. Priscilla Lee Agosto, 101YA0400X is an addiction (substance use disorder) counselor in Colorado Springs, CO. MRS. Priscilla Lee Agosto, 101YA0400X NPI is 1750914024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

724 N TEJON ST
COLORADO SPRINGS, CO
ZIP 80903-012
Phone: (719) 227-7745

The enumeration date for this NPI number is 2/14/2020 and was last updated on 2/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003871328	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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