Provider Demographics
NPI:1790590958
Name:PALMA COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PALMA COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:MOCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:719-582-8693
Mailing Address - Street 1:5755 KITTERY DR UNIT 31163
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80931-7048
Mailing Address - Country:US
Mailing Address - Phone:719-582-8693
Mailing Address - Fax:
Practice Address - Street 1:97 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-2042
Practice Address - Country:US
Practice Address - Phone:719-391-8182
Practice Address - Fax:719-391-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty