Provider Demographics
NPI:1386279925
Name:GRACE COUNSELING L.L.C. DBA ELMWOOD COUNSELING
Entity type:Organization
Organization Name:GRACE COUNSELING L.L.C. DBA ELMWOOD COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARACOSTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-210-3113
Mailing Address - Street 1:9220 TEDDY LN STE 1000C
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6756
Mailing Address - Country:US
Mailing Address - Phone:303-210-3113
Mailing Address - Fax:303-346-3250
Practice Address - Street 1:9220 TEDDY LN STE 1000C
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6756
Practice Address - Country:US
Practice Address - Phone:303-210-3113
Practice Address - Fax:303-346-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health