Provider Demographics
NPI:1386164994
Name:TURTLE SHELL: INDIVIDUAL, FAMILY , AND CONSULTATION SERVICES LLC
Entity type:Organization
Organization Name:TURTLE SHELL: INDIVIDUAL, FAMILY , AND CONSULTATION SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:NEE
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-395-9748
Mailing Address - Street 1:815 E 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1417
Mailing Address - Country:US
Mailing Address - Phone:303-395-9748
Mailing Address - Fax:303-997-1449
Practice Address - Street 1:815 E 17TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1417
Practice Address - Country:US
Practice Address - Phone:303-395-9748
Practice Address - Fax:303-997-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099242411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty