Provider Demographics
NPI:1235532748
Name:PROACTIVE COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:PROACTIVE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-917-6211
Mailing Address - Street 1:1745 SHEA CENTER DR
Mailing Address - Street 2:FLOOR 4
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1537
Mailing Address - Country:US
Mailing Address - Phone:303-917-6211
Mailing Address - Fax:303-791-9006
Practice Address - Street 1:1745 SHEA CENTER DR
Practice Address - Street 2:FLOOR 4
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1537
Practice Address - Country:US
Practice Address - Phone:303-917-6211
Practice Address - Fax:303-791-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty