Provider Demographics
NPI:1598509077
Name:BLUE FEATHER COUNSELING, PLLC
Entity type:Organization
Organization Name:BLUE FEATHER COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHEWMAKE
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:720-217-1729
Mailing Address - Street 1:19641 E PARKER SQUARE DR STE G
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7397
Mailing Address - Country:US
Mailing Address - Phone:720-383-0754
Mailing Address - Fax:
Practice Address - Street 1:19641 E PARKER SQUARE DR STE G
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7397
Practice Address - Country:US
Practice Address - Phone:720-383-0754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty