Provider Demographics
NPI:1083232904
Name:FREE TO BE COUNSELING
Entity type:Organization
Organization Name:FREE TO BE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:PELLETIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC NCC
Authorized Official - Phone:720-515-3617
Mailing Address - Street 1:69-200 POHAKULANA PL APT B33
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5750
Mailing Address - Country:US
Mailing Address - Phone:720-515-3617
Mailing Address - Fax:
Practice Address - Street 1:5290 DTC PKWY STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2764
Practice Address - Country:US
Practice Address - Phone:720-515-3617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)