Provider Demographics
NPI:1306362421
Name:ACORN COUNSELING LLC
Entity Type:Organization
Organization Name:ACORN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERMAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-261-8818
Mailing Address - Street 1:8979 MINERS PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5057
Mailing Address - Country:US
Mailing Address - Phone:720-261-8818
Mailing Address - Fax:
Practice Address - Street 1:9055 E MINERAL CIR STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3442
Practice Address - Country:US
Practice Address - Phone:720-261-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty