Provider Demographics
NPI:1366959769
Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRABILL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, LAC
Authorized Official - Phone:719-330-2258
Mailing Address - Street 1:3210 NORTH ACADEMY BLVD., SUITE 3
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917
Mailing Address - Country:US
Mailing Address - Phone:719-330-2258
Mailing Address - Fax:719-531-5712
Practice Address - Street 1:3210 NORTH ACADEMY BLVD, SUITE 3
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917
Practice Address - Country:US
Practice Address - Phone:719-330-2258
Practice Address - Fax:719-531-5712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health