Provider Demographics
NPI:1043660236
Name:COLORADO WHOLE SELF COUNSELING
Entity type:Organization
Organization Name:COLORADO WHOLE SELF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LYN ZEEB
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-903-4906
Mailing Address - Street 1:4374 S CEYLON WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2852
Mailing Address - Country:US
Mailing Address - Phone:303-903-4906
Mailing Address - Fax:
Practice Address - Street 1:4374 S CEYLON WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2852
Practice Address - Country:US
Practice Address - Phone:303-903-4906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty