Provider Demographics
NPI:1659232759
Name:SUN MOUNTAIN COUNSELING PLLC
Entity type:Organization
Organization Name:SUN MOUNTAIN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-315-4587
Mailing Address - Street 1:268 PONDEROSA HOMES RD
Mailing Address - Street 2:
Mailing Address - City:BAYFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:81122-9212
Mailing Address - Country:US
Mailing Address - Phone:719-315-4587
Mailing Address - Fax:
Practice Address - Street 1:2243 MAIN AVE UNIT 4C
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4699
Practice Address - Country:US
Practice Address - Phone:719-315-4587
Practice Address - Fax:719-888-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty