Provider Demographics
NPI:1528498599
Name:COUNSELING PARTNERS, LLC
Entity type:Organization
Organization Name:COUNSELING PARTNERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:'JOYCE'
Authorized Official - Last Name:RANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CFI
Authorized Official - Phone:719-634-1240
Mailing Address - Street 1:2860 S CIRCLE DR
Mailing Address - Street 2:SUITE #115
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4113
Mailing Address - Country:US
Mailing Address - Phone:719-634-1240
Mailing Address - Fax:719-540-0174
Practice Address - Street 1:2860 S CIRCLE DR
Practice Address - Street 2:SUITE #115
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4113
Practice Address - Country:US
Practice Address - Phone:719-634-1240
Practice Address - Fax:719-540-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1745-01101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty