Provider Demographics
NPI:1043047954
Name:CHAI TIME COUNSELING
Entity type:Organization
Organization Name:CHAI TIME COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:CHAISETSEREE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:845-264-2894
Mailing Address - Street 1:2181 S TRENTON WAY APT 16-303
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5392
Mailing Address - Country:US
Mailing Address - Phone:845-264-2894
Mailing Address - Fax:
Practice Address - Street 1:2181 S TRENTON WAY APT 16-303
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5392
Practice Address - Country:US
Practice Address - Phone:845-264-2894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty