Provider Demographics
NPI:1093118226
Name:CAPITOL HILL COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:CAPITOL HILL COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-775-7077
Mailing Address - Street 1:852 BROADWAY STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2700
Mailing Address - Country:US
Mailing Address - Phone:720-775-7077
Mailing Address - Fax:
Practice Address - Street 1:852 BROADWAY STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2700
Practice Address - Country:US
Practice Address - Phone:720-775-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012136251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health