Provider Demographics
NPI:1306674551
Name:CO COUNSELING GROUP,, LLC
Entity type:Organization
Organization Name:CO COUNSELING GROUP,, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUNKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-988-1830
Mailing Address - Street 1:225 S BROADWAY
Mailing Address - Street 2:#9950, SMB #0949
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1665
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10138 TRIBOROUGH TRL
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7155
Practice Address - Country:US
Practice Address - Phone:844-988-1830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty