Provider Demographics
NPI:1306296777
Name:JOANNA FORD COUNSELING
Entity type:Organization
Organization Name:JOANNA FORD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:LUCILLE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-521-0731
Mailing Address - Street 1:825 E SPEER BLVD
Mailing Address - Street 2:100B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3719
Mailing Address - Country:US
Mailing Address - Phone:303-521-0731
Mailing Address - Fax:
Practice Address - Street 1:825 E SPEER BLVD
Practice Address - Street 2:100B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3719
Practice Address - Country:US
Practice Address - Phone:303-521-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty