Provider Demographics
NPI:1043823081
Name:NEAL CENTER FOR COUNSELING AND YOGA THERAPIES
Entity Type:Organization
Organization Name:NEAL CENTER FOR COUNSELING AND YOGA THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-257-9097
Mailing Address - Street 1:826 S VANCE ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4440
Mailing Address - Country:US
Mailing Address - Phone:720-257-9097
Mailing Address - Fax:
Practice Address - Street 1:826 S VANCE ST UNIT C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4440
Practice Address - Country:US
Practice Address - Phone:720-257-9097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty