Provider Demographics
NPI:1619324696
Name:RICHARD J STEELE
Entity type:Organization
Organization Name:RICHARD J STEELE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-443-9892
Mailing Address - Street 1:2635 MAPLETON AVE
Mailing Address - Street 2:APT 24
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3824
Mailing Address - Country:US
Mailing Address - Phone:832-443-9892
Mailing Address - Fax:
Practice Address - Street 1:720 KIPLING ST
Practice Address - Street 2:SUITE 17
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-8003
Practice Address - Country:US
Practice Address - Phone:832-443-9892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty