Search › Colorado › 175T00000X
Jeremy Pavlik, QBHA/PRC
NPI 1447111877 · on the registry since 2025
Practice
- Address
- 801 S Tejon St
Colorado Springs, CO 80903 - Phone
- (719) 644-4387
- Organisation at this address
- Halo Reentry Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101Y00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado