| Kayla Edson, Pllc | |
|
4689 W 20th Street Suite E Greeley CO 80634 | |
| (970) 834-3657 | |
| Not Available |
| Full Name | Kayla Edson, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4689 W 20th Street, Greeley, Colorado |
| Authorized Official Name and Position | Kayla Marie Edson (OWNER) |
| Authorized Official Contact | 9708343657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Edson, Pllc 4689 W 20th Street Suite E Greeley CO 80634 Ph: (970) 834-3657 | Kayla Edson, Pllc 4689 W 20th Street Suite E Greeley CO 80634 Ph: (970) 834-3657 |
| NPI Number | 1104576479 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104576479 | NPI | - | NPPES |
| 62308 | Other | CIGNA | |
| 60054 | Other | AETNA | |
| RMHMO | Medicaid | CO | |
| COACC | Medicaid | CO | |
| 87726 | Other | UNITED HEALTH CARE | |
| 00813 | Medicaid | CO | |
| 9000177607 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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