Provider Demographics
NPI:1295394880
Name:CATALYST FOR CHANGE COUNSELING
Entity Type:Organization
Organization Name:CATALYST FOR CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-338-9403
Mailing Address - Street 1:11173 INDIAN ECHO TER
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7095
Mailing Address - Country:US
Mailing Address - Phone:719-338-9403
Mailing Address - Fax:
Practice Address - Street 1:11173 INDIAN ECHO TER
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7095
Practice Address - Country:US
Practice Address - Phone:719-338-9403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty