Provider Demographics
NPI:1730061292
Name:EAGLE COUNTY SCHOOL DISTRICT RE 50
Entity type:Organization
Organization Name:EAGLE COUNTY SCHOOL DISTRICT RE 50
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BASED THERAPY PROGRAM SUPERV
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:SUSANNE
Authorized Official - Last Name:KUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-440-6479
Mailing Address - Street 1:PO BOX 740
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:CO
Mailing Address - Zip Code:81631-0740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:948 CHAMBERS AVENUE
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631
Practice Address - Country:US
Practice Address - Phone:970-328-6321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAGLE COUNTY SCHOOL DISTRICT RE 50
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty