Provider Demographics
NPI:1114583572
Name:HIGHER PEAKS COUNSELING, LLC
Entity Type:Organization
Organization Name:HIGHER PEAKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-287-1461
Mailing Address - Street 1:402 FOREST EDGE LN APT D
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2419
Mailing Address - Country:US
Mailing Address - Phone:719-287-1461
Mailing Address - Fax:
Practice Address - Street 1:703 N TEJON ST STE B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1050
Practice Address - Country:US
Practice Address - Phone:719-287-1461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-11
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health