Provider Demographics
NPI:1124708037
Name:ASU COUNSELING LLC
Entity type:Organization
Organization Name:ASU COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:UNREIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:316-640-8823
Mailing Address - Street 1:14621 COUNTY ROAD 18
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-8413
Mailing Address - Country:US
Mailing Address - Phone:316-640-8823
Mailing Address - Fax:
Practice Address - Street 1:14621 COUNTY ROAD 18
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-8413
Practice Address - Country:US
Practice Address - Phone:316-640-8823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty