Provider Demographics
NPI:1215575147
Name:GREELEY FAMILY COUNSELING
Entity Type:Organization
Organization Name:GREELEY FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:VOVILLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-847-9172
Mailing Address - Street 1:1122 9TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3277
Mailing Address - Country:US
Mailing Address - Phone:970-556-4883
Mailing Address - Fax:
Practice Address - Street 1:1122 9TH ST STE 201
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3277
Practice Address - Country:US
Practice Address - Phone:970-556-4883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health