Provider Demographics
NPI:1275122756
Name:ON BELAY COUNSELING
Entity Type:Organization
Organization Name:ON BELAY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KRYSTOFFER
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-344-5378
Mailing Address - Street 1:5360 N ACADEMY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4038
Mailing Address - Country:US
Mailing Address - Phone:719-344-5378
Mailing Address - Fax:719-434-1017
Practice Address - Street 1:915 PINON RANCH VW
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3578
Practice Address - Country:US
Practice Address - Phone:719-357-7889
Practice Address - Fax:719-213-2484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty