Provider Demographics
NPI:1033235411
Name:FOOTBRIDGE COUNSELING & COACHING
Entity Type:Organization
Organization Name:FOOTBRIDGE COUNSELING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:303-420-5520
Mailing Address - Street 1:7732 W 90TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8621
Mailing Address - Country:US
Mailing Address - Phone:303-420-5520
Mailing Address - Fax:
Practice Address - Street 1:7651 W 41ST AVE
Practice Address - Street 2:#91
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4559
Practice Address - Country:US
Practice Address - Phone:720-898-0257
Practice Address - Fax:720-898-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4066101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty