Provider Demographics
NPI:1316487937
Name:COMPREHENSIVE CHILD COUNSELING & ASSESSMENT, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE CHILD COUNSELING & ASSESSMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-213-9909
Mailing Address - Street 1:495 UINTA WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7110
Mailing Address - Country:US
Mailing Address - Phone:303-344-4100
Mailing Address - Fax:303-484-3575
Practice Address - Street 1:495 UINTA WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7110
Practice Address - Country:US
Practice Address - Phone:303-344-4100
Practice Address - Fax:303-484-3575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0107323101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty