Provider Demographics
NPI:1215472832
Name:LITTLETON COUNSELING ASSOCIATES INC
Entity type:Organization
Organization Name:LITTLETON COUNSELING ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:COOK.
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-564-9987
Mailing Address - Street 1:5931 S. MIDDLEFIELD RD.,
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-564-9987
Mailing Address - Fax:303-600-0086
Practice Address - Street 1:5931 S. MIDDLEFIELD RD.,
Practice Address - Street 2:SUITE 102
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:303-564-9987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW000002491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty