Provider Demographics
NPI:1275976193
Name:SUMMIT COUNSELING ASSOCIATES, INC
Entity Type:Organization
Organization Name:SUMMIT COUNSELING ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOVING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LAC
Authorized Official - Phone:303-349-7398
Mailing Address - Street 1:10725 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:CO
Mailing Address - Zip Code:80640-8968
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10754 BELLE CREEK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:HENDERSON
Practice Address - State:CO
Practice Address - Zip Code:80640-7507
Practice Address - Country:US
Practice Address - Phone:303-349-7398
Practice Address - Fax:888-506-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202101YA0400X
CO746106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty