DEBORAH TEBAULT (NPI# 1033623475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033623475 |
| Entity Type | Individual |
| Full Name | DEBORAH TEBAULT |
| Credential | MA, LPCC, NCC |
| Practice Address |
220 N. Washington St. Suite F Monument CO 80132 |
| Mailing Address |
Po Box 1121 Monument CO 80132-1121 |
| Practice Telephone | 7193046146 |
| Practice Fax Number | 7194873251 |
| Mailing Telephone | 7193046146 |
| Mailing Fax Number | 7194873251 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC.0016884 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Lakewood Cir Ste C201, Colorado Springs, CO 809102668 | 7193023175 | 7096966032 |
| Street Address |
220 N. WASHINGTON ST. SUITE F |
| City | MONUMENT |
| State | CO |
| Zip Code | 80132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
| 1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
| 1609357144 | Baptist Road Dental | Dentist | 1036 Baptist Road, Monument, CO 80132 | 2018-08-23 |
| 1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
| 1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
| 1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
| 1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
| 1154759983 | 100 Percent Chiropractic Monument LLC | Chiropractor | 1793 Lake Woodmoor Drive, Monument, CO 80132 | 2013-10-14 |
| Find all providers in zip 80132 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237396 | James H. Cunningham IIi | Counselor | 325 2nd St Ste U, Monument, CO 80132-9217 | 2019-04-02 |
| 1235603416 | Stephanie Marie Kugler | Counselor | 835 Lake Woodmoor Dr, Monument, CO 80132-8815 | 2019-01-21 |
| 1568702405 | Laurel Boyer | Counselor | 3530 Doolittle Rd, Monument, CO 80132-8142 | 2013-02-28 |
| 1780984641 | Therapeutic Consults, Inc. | Counselor | 16832 Buffalo Valley Path, Monument, CO 80132-7172 | 2010-10-26 |
| 1578716171 | Kenneth Dennis | Counselor | 370 E Stirrup Trl, Monument, CO 80132-8729 | 2008-10-28 |
| 1619142338 | Mike S Pinkston | Counselor | 17360 Caribou Dr E, Monument, CO 80132-8552 | 2008-04-23 |
| 1649456898 | Deborah Coates Bauers | Counselor | 16216 Windsor Creek Dr, Monument, CO 80132-8985 | 2008-01-18 |
| 1801305982 | Nannette Florin Amodeo | Counselor | 1824 Woodmoor Dr Ste 101, Monument, CO 80132-9097 | 2017-09-21 |
| 1336517945 | Gypsy Wind Ranch, LLC | Counselor | 3530 Doolittle Rd, Monument, CO 80132-8142 | 2015-09-14 |
| 1275875676 | Melissa R Riesling | Counselor | 1864 Woodmoor Dr, Suite 216, Monument, CO 80132-9095 | 2013-03-23 |
| Find all providers in MONUMENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.