Provider Demographics
NPI:1194313700
Name:MEN AND WOMEN SEEKING EMPOWEMENT
Entity type:Organization
Organization Name:MEN AND WOMEN SEEKING EMPOWEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTOON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAC III, EMDR
Authorized Official - Phone:303-665-7037
Mailing Address - Street 1:100 E SOUTH BOULDER RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1968
Mailing Address - Country:US
Mailing Address - Phone:303-665-7037
Mailing Address - Fax:720-890-7111
Practice Address - Street 1:3161 COUNTY ROAD 62E
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-3272
Practice Address - Country:US
Practice Address - Phone:303-665-7037
Practice Address - Fax:720-890-7111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEN AND WOMEN SEEKING EMPOWERMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO80776230Medicaid