Provider Demographics
NPI:1093148074
Name:UTE CROSSING COUNSELING LLC
Entity Type:Organization
Organization Name:UTE CROSSING COUNSELING LLC
Other - Org Name:COMANCHE CROSSING COUNSELING PC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-878-9935
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:MEEKER
Mailing Address - State:CO
Mailing Address - Zip Code:81641-0777
Mailing Address - Country:US
Mailing Address - Phone:970-878-9935
Mailing Address - Fax:970-878-9970
Practice Address - Street 1:685 MAIN ST, 5-B
Practice Address - Street 2:
Practice Address - City:MEEKER
Practice Address - State:CO
Practice Address - Zip Code:81641
Practice Address - Country:US
Practice Address - Phone:970-878-9935
Practice Address - Fax:970-878-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9880051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1C89691Medicare UPIN