Provider Demographics
NPI:1003461476
Name:ALIVE CONNECTIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:ALIVE CONNECTIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:WARCHOL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:719-650-1200
Mailing Address - Street 1:PO BOX 767
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80866-0767
Mailing Address - Country:US
Mailing Address - Phone:719-650-1200
Mailing Address - Fax:719-619-2439
Practice Address - Street 1:321 WEST HENRIETTA AVENUE, OFFICE D-8
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863
Practice Address - Country:US
Practice Address - Phone:719-650-1200
Practice Address - Fax:719-619-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health