Provider Demographics
NPI:1144763939
Name:STEVEN SPATZ COUNSELING, PLLC
Entity Type:Organization
Organization Name:STEVEN SPATZ COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR AND
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-677-2688
Mailing Address - Street 1:PO BOX 1903
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80306-1903
Mailing Address - Country:US
Mailing Address - Phone:703-677-2688
Mailing Address - Fax:703-635-7296
Practice Address - Street 1:1650 38TH STREET
Practice Address - Street 2:SUITE 100E
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:703-677-2688
Practice Address - Fax:703-635-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006164251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health