Gina Thayer | Colorado Springs, CO • PECOS Search

Gina Thayer

Counselor

Behavioral Health & Social Service Providers

179 S Parkside Dr, Colorado Springs, CO 80910-3130

PECOS Enrollment

Based on the most recent information from CMS, provider Gina Thayer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1831434315
Provider Type
Individual
Full Name
Thayer, Gina
Gender
Female

Sole Proprietor
No
Enumeration Date
12/10/2012
Last Updated
12/10/2012

Contact Information

Practice Location

179 S Parkside Dr, Colorado Springs, CO 80910-3130

Unlisted Fax

Mailing Location

220 Ruskin Dr, Colorado Springs, CO 80910-2522

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer