Provider Demographics
NPI:1114079548
Name:ASPEN CENTER FOR MARRIAGE & THE FAMILY, LLC
Entity Type:Organization
Organization Name:ASPEN CENTER FOR MARRIAGE & THE FAMILY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-816-0294
Mailing Address - Street 1:11863 SPRINGS RD STE 11B
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7265
Mailing Address - Country:US
Mailing Address - Phone:303-816-0294
Mailing Address - Fax:
Practice Address - Street 1:11863 SPRINGS RD STE 11B
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7265
Practice Address - Country:US
Practice Address - Phone:303-816-0294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty