Provider Demographics
NPI:1235685371
Name:MINDI K. COUNTS, LLC
Entity type:Organization
Organization Name:MINDI K. COUNTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:COUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-441-2392
Mailing Address - Street 1:210 E SIMPSON ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2324
Mailing Address - Country:US
Mailing Address - Phone:720-441-2392
Mailing Address - Fax:
Practice Address - Street 1:210 E SIMPSON ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2324
Practice Address - Country:US
Practice Address - Phone:720-441-2392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001893171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty