Provider Demographics
NPI:1093965576
Name:TESLA CENTER COUNSELING LLC
Entity Type:Organization
Organization Name:TESLA CENTER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALYN
Authorized Official - Middle Name:BRANDI
Authorized Official - Last Name:DRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CACIII, LPC, LAC
Authorized Official - Phone:970-270-4108
Mailing Address - Street 1:518 28 RD
Mailing Address - Street 2:BLDG B #101
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6556
Mailing Address - Country:US
Mailing Address - Phone:970-270-4108
Mailing Address - Fax:970-523-7197
Practice Address - Street 1:518 28 RD
Practice Address - Street 2:BLDG B #101
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6556
Practice Address - Country:US
Practice Address - Phone:970-270-4108
Practice Address - Fax:970-523-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1573-01251S00000X
CO1573-02251S00000X
CO1573-03251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health