Provider Demographics
NPI:1093915159
Name:PROFESSIONAL REFERRAL AND COUNSELLING SERVICE, INC.
Entity Type:Organization
Organization Name:PROFESSIONAL REFERRAL AND COUNSELLING SERVICE, INC.
Other - Org Name:MARY S. STUART RN, CNS
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNS
Authorized Official - Phone:303-733-2688
Mailing Address - Street 1:420 S MARION PKWY
Mailing Address - Street 2:#1502
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2542
Mailing Address - Country:US
Mailing Address - Phone:303-733-2688
Mailing Address - Fax:
Practice Address - Street 1:950 E HARVARD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7009
Practice Address - Country:US
Practice Address - Phone:303-733-2688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1942387493OtherNPI