Provider Demographics
NPI:1093477689
Name:COLIBRI COUNSELING & CONSULTING, PLLC
Entity type:Organization
Organization Name:COLIBRI COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKELVY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:928-517-7200
Mailing Address - Street 1:PO BOX 11380
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86304-1380
Mailing Address - Country:US
Mailing Address - Phone:928-517-7200
Mailing Address - Fax:928-517-7500
Practice Address - Street 1:450 W GOODWIN ST STE 103B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-3781
Practice Address - Country:US
Practice Address - Phone:928-517-7200
Practice Address - Fax:928-517-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty