Provider Demographics
NPI:1306186721
Name:COUNSELING PARTNERS OF NORTHERN COLORADO, PLLC
Entity Type:Organization
Organization Name:COUNSELING PARTNERS OF NORTHERN COLORADO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PSYCHOTHERAPIST #13780
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:980-481-9830
Mailing Address - Street 1:8010 S COUNTY ROAD 5 UNIT 201
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9004
Mailing Address - Country:US
Mailing Address - Phone:970-481-9830
Mailing Address - Fax:
Practice Address - Street 1:8010 S COUNTY ROAD 5 UNIT 201
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9004
Practice Address - Country:US
Practice Address - Phone:970-481-9830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13780101YP2500X
CO12830101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty